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24 Greenway Plz Ste 1708 Houston TX 77046-2417 | |
| (713) 439-7575 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 24 Greenway Plz Ste 1708, Houston, Texas |
| Authorized Official Name and Position | Jason Hullett (OWNER/ORAL SURGEON) |
| Authorized Official Contact | 2014075181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24 Greenway Plz Ste 1708 Houston TX 77046-2417 Ph: () - | 24 Greenway Plz Ste 1708 Houston TX 77046-2417 Ph: (713) 439-7575 |
| NPI Number | 1073983755 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073983755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 31059 (Texas) | Primary |
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