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10350 S Post Oak Rd Suite H Houston TX 77035-3313 | |
| (713) 551-9400 | |
| (713) 551-9405 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10350 S Post Oak Rd, Houston, Texas |
| Authorized Official Name and Position | Shandra Cushingberry (OWNER/PRESIDENT) |
| Authorized Official Contact | 7135519400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10350 S Post Oak Rd Suite H Houston TX 77035-3313 Ph: (713) 551-9400 | 10350 S Post Oak Rd Suite H Houston TX 77035-3313 Ph: (713) 551-9400 |
| NPI Number | 1831463884 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831463884 | NPI | - | NPPES |
| 135072011 | Medicaid | TX | |
| 336290 | Other | TX | DENTAQUEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19439 (Texas) | Primary |
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