|
| |
|
1546 Babcock Rd Ste 105 San Antonio TX 78229-4724 | |
| (504) 810-2760 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1546 Babcock Rd, San Antonio, Texas |
| Authorized Official Name and Position | Emanuel J Staes (OWNER) |
| Authorized Official Contact | 5048102760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6215 Via La Cantera Apt 331 San Antonio TX 78256-2537 Ph: () - | 1546 Babcock Rd Ste 105 San Antonio TX 78229-4724 Ph: (504) 810-2760 |
| NPI Number | 1699181578 |
|---|---|
| Provider Enumeration Date | 07/11/2014 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699181578 | NPI | - | NPPES |
| 1336495738 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 28289 (Texas) | Primary |
J.perry Fikes D.d.s P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Loop 1604 E, Suite 205, San Antonio, TX 78232 Phone: 210-496-3869 | |
Valudental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Marbach Rd, San Antonio, TX 78227 Phone: 904-994-0410 | |
Access Orthodontics Of White, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 South Ww White Road, San Antonio, TX 78220 Phone: 210-337-7600 | |
Pax Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 N Loop 1604 W Ste 123, San Antonio, TX 78249 Phone: 210-276-0600 | |
Ideal Dental Brooks City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 S. New Braunfels Ave, Ste 105, San Antonio, TX 78235 Phone: 210-800-8410 | |
Atique Orthodontics, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2770 E Evans Rd, Suite 103, San Antonio, TX 78259 Phone: 210-497-5500 |