Dr Sridhar Sista, DDS | |
1355 W Gray St, Houston, TX 77019-4019 | |
(713) 526-2904 | |
Not Available |
Full Name | Dr Sridhar Sista |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 1355 W Gray St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881915650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 0025616 (Texas) | Primary |
Entity Name | Fortune Phi Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215945639 PECOS PAC ID: 7012339401 Enrollment ID: O20200611001942 |
Mailing Address | Practice Location Address |
---|---|
Dr Sridhar Sista, DDS 1355 W Gray St, Houston, TX 77019-4019 Ph: (713) 526-2904 | Dr Sridhar Sista, DDS 1355 W Gray St, Houston, TX 77019-4019 Ph: (713) 526-2904 |
Wah Wai Katrina Koo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10425-c S Post Oak Rd, Houston, TX 77035 Phone: 713-723-3060 Fax: 713-723-2780 | |
Dr. Stephen Charles Gould, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2040 North Loop W, # 100, Houston, TX 77018 Phone: 713-683-6655 Fax: 713-683-6680 | |
Dr. Robert Randolph Debes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6516 M D Anderson Blvd, Ste. 2.059, Houston, TX 77030 Phone: 713-500-4125 Fax: 713-500-4333 | |
Dr. Alia Chakaki, DDS,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11550 Louetta Rd, Suite #400, Houston, TX 77070 Phone: 281-320-0400 Fax: 281-320-9764 | |
Dr. Osagiemwangbon Nicoson Omoirawua, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 15035 Westpark Dr, Apt 203, Houston, TX 77082 Phone: 713-366-9249 | |
Alex Rouse, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5815 E Sam Houston Pkwy N Ste C, Houston, TX 77049 Phone: 281-459-1555 | |
Dr. Carlos F. Carrion, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19961 Katy Fwy, Houston, TX 77094 Phone: 713-244-7799 |