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9820 Gulf Fwy A-7 Houston TX 77034-1020 | |
| (713) 943-0101 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9820 Gulf Fwy, Houston, Texas |
| Authorized Official Name and Position | Thang Tran (DDS/ PRESIDENT) |
| Authorized Official Contact | 7139430101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9820 Gulf Fwy A-7 Houston TX 77034-1020 Ph: (713) 943-0101 | 9820 Gulf Fwy A-7 Houston TX 77034-1020 Ph: (713) 943-0101 |
| NPI Number | 1447696497 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 05/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447696497 | NPI | - | NPPES |
| 205097301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20237 (Texas) | Primary |
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