MEDICARE: TEXAS FAMILY DENTISTRY PLLC

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	1223G0001X	General Practice Dentistry
2	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1497130843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS FAMILY DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	1919 LAKE WINDS DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1710
Country	:	US
Telephone Number	:	832-433-7252
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 S WAYSIDE DR STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3417
Country	:	US
Telephone Number	:	832-433-7252
Fax Number	:	832-668-5447

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	MRS. SHERVIN AMINI
Credential	:
Telephone Number	:	713-465-8239

Provider Enumeration Date	:	07/28/2015
Last Update Date	:	08/05/2021

Similar Medicare Providers

1306965827 — MCKINNEY PODIATRIC ASSOCIATES PA
Practice Location Address:

910 S WAYSIDE DR STE 200
HOUSTON, TX
77023-3417

Practice Phone: 713-921-3232
Practice Fax: 713-921-4466

1265765077 — ARSHIA K KHAN O.D.
Practice Location Address:

910 S WAYSIDE DR STE 400
HOUSTON, TX
77023-3417

Practice Phone: 713-921-0233
Practice Fax:

1093088692 — EL CENTRO DE CORAZON
Practice Location Address:

910 S WAYSIDE DR STE 100
HOUSTON, TX
77023-3417

Practice Phone: 713-660-1880
Practice Fax: 713-926-9105

1316516792 — ICARE 2020 LLC
Practice Location Address:

910 S WAYSIDE DR STE 400
HOUSTON, TX
77023-3417

Practice Phone: 713-921-0233
Practice Fax: 713-921-4304

1962649491 — ANTHONY PHAN NIKKO MD
Practice Location Address:

4707 EIGEL ST STE 100
HOUSTON, TX
77007-3417

Practice Phone: 713-960-1311
Practice Fax: 713-960-1325

1740278159 — QUALITY MEDICAL EQUIPMENT & SUPPLY,INC
Practice Location Address:

840 FM 1960 RD W
HOUSTON, TX
77090-3417

Practice Phone: 281-895-0539
Practice Fax: 281-895-8122

Directions to “TEXAS FAMILY DENTISTRY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.