Codi Etel Astiasaran, DDS is a
Dentist - Dental Public Health based in Cross Plains, Texas. Codi Etel Astiasaran is licensed to practice in Texas (license number 30720) and her current practice location is
301 S Main St, Cross Plains, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 725-4311.
NPI number for Codi Etel Astiasaran is 1215362637 and her current mailing address is 4801 Big Bend Trl, Abilene, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215362637.
Healthcare Provider's Profile
| Full Name | Codi Etel Astiasaran |
|---|
| Gender | Female |
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| Speciality | Dentist - Dental Public Health |
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| Location | 301 S Main St, Cross Plains, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215362637
- Provider Enumeration Date: 09/04/2013
- Last Update Date: 04/27/2015
Medical Identifiers
Medical identifiers for Codi Etel Astiasaran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215362637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 00202008 (Colorado) | Secondary |
| 1223D0001X | Dentist - Dental Public Health | 30720 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Codi Etel Astiasaran is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Codi Etel Astiasaran, DDS
4801 Big Bend Trl,
Abilene, TX 79602-1272
Ph: (719) 648-1468 | Codi Etel Astiasaran, DDS
301 S Main St,
Cross Plains, TX 76443-2581
Ph: (254) 725-4311 |
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