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7500 Cambridge Suite 1462 Houston TX 77054 | |
| (713) 486-4230 | |
| (713) 486-0845 |
| Full Name | |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7500 Cambridge Suite 1462, Houston, Texas |
| Authorized Official Name and Position | Timothy Kirkpatrick (CHAIR, PROFESSOR, ADV EDU PROG DIR) |
| Authorized Official Contact | 7134864227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7500 Cambridge Suite 6400 Houston TX 77054 Ph: (713) 486-4112 | 7500 Cambridge Suite 1462 Houston TX 77054 Ph: (713) 486-4230 |
| NPI Number | 1922280114 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922280114 | NPI | - | NPPES |
| 009886501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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