| Texas Capital Dental | |
|
1015 E Braker Ln Ste 2-3 Austin TX 78753-3449 | |
| (512) 832-1121 | |
| (877) 833-4825 |
| Full Name | Texas Capital Dental |
|---|---|
| Speciality | Dentist |
| Location | 1015 E Braker Ln Ste 2-3, Austin, Texas |
| Authorized Official Name and Position | Fakeri Zayed (DENTIST) |
| Authorized Official Contact | 5125690274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Capital Dental 1015 E Braker Ln Ste 2-3 Austin TX 78753-3449 Ph: (512) 832-1121 | Texas Capital Dental 1015 E Braker Ln Ste 2-3 Austin TX 78753-3449 Ph: (512) 832-1121 |
| NPI Number | 1780968362 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780968362 | NPI | - | NPPES |
| 1487871901 | Medicaid | TX | |
| 1326114968 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21278 (Texas) | Primary |
| 122300000X | Dentist | 22714 (Texas) | Secondary |
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