MEDICARE: JOE HENRY SMILES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1437387982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOE HENRY SMILES

Provider Business Mailing Address
First Line	:	9601 KATY FWY STE 420
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1356
Country	:	US
Telephone Number	:	713-532-9171
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 KATY FWY
Second Line	:	STE 360
City	:	HOUSTON
State	:	TX
Zip	:	77024-1342
Country	:	US
Telephone Number	:	713-464-7444
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	SANDRA JEANETTE ORTEGA
Credential	:
Telephone Number	:	832-390-9843

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	06/24/2025

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