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5050 Fm 1960 West #126 Houston TX 77069 | |
| (281) 440-0814 | |
| (281) 440-6130 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5050 Fm 1960 West #126, Houston, Texas |
| Authorized Official Name and Position | Donald A Halbardier (OWNER) |
| Authorized Official Contact | 2814400814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5050 Fm 1960 West #126 Houston TX 77069 Ph: (281) 440-0814 | 5050 Fm 1960 West #126 Houston TX 77069 Ph: (281) 440-0814 |
| NPI Number | 1720187818 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720187818 | NPI | - | NPPES |
| 133295908 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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