| Conglomerate Pllc | |
|
1620 Grand Avenue Pkwy Ste 130 Pflugerville TX 78660-2185 | |
| (512) 670-8482 | |
| Not Available |
| Full Name | Conglomerate Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1620 Grand Avenue Pkwy Ste 130, Pflugerville, Texas |
| Authorized Official Name and Position | Laresea Woods (DENTIST/PART-OWNER) |
| Authorized Official Contact | 3345904223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conglomerate Pllc 1620 Grand Avenue Pkwy Ste 130 Pflugerville TX 78660-2185 Ph: (512) 670-8482 | Conglomerate Pllc 1620 Grand Avenue Pkwy Ste 130 Pflugerville TX 78660-2185 Ph: (512) 670-8482 |
| NPI Number | 1154955805 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 04/09/2020 |
| Medicare PECOS PAC ID | 6901222371 |
|---|---|
| Medicare Enrollment ID | O20200717001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154955805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Laresea Woods |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568777654 PECOS PAC ID: 7214211564 Enrollment ID: I20200814002764 |
Pearls Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Wells Branch Parkway Suite 150, Pflugerville, TX 78660 Phone: 787-420-0942 | |
Pflugerville Orthodontics Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Heatherwilde Blvd, Pflugerville, TX 78660 Phone: 512-989-8811 Fax: 512-989-1525 | |
Kk Smiles Associates Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Pecan St E, Suite 500, Pflugerville, TX 78660 Phone: 817-914-3594 | |
Martin Nelson Endodontic Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2911 A W Grimes Blvd Ste 103, Pflugerville, TX 78660 Phone: 512-275-4222 Fax: 512-367-5865 | |
Singh Smile Studio Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16051 Dessau Rd Ste B, Pflugerville, TX 78660 Phone: 512-960-0812 | |
Pflugerville Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2911 A W Grimes Blvd, Pflugerville, TX 78660 Phone: 512-990-8550 |