| Tx Southern Dental Pc | |
|
13956 Cutten Rd Houston TX 77069-2215 | |
| (281) 440-6648 | |
| Not Available |
| Full Name | Tx Southern Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 13956 Cutten Rd, Houston, Texas |
| Authorized Official Name and Position | Erika Melissa Menjivar (SR. CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4695966137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tx Southern Dental Pc 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: () - | Tx Southern Dental Pc 13956 Cutten Rd Houston TX 77069-2215 Ph: (281) 440-6648 |
| NPI Number | 1154174985 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154174985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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