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NPI Code Detail

MEDICARE: ROBERT WESLEY MAGNESS DDS

MEDICARE:   ROBERT WESLEY MAGNESS  DDS
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
1122300000XDentist06893TX

General Provider Information

NPI Number : 1760583611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT WESLEY MAGNESS DDS
Provider Business Mailing Address
First Line : 2508 BAY AREA BLVD SUITE #500
Second Line :
City : HOUSTON
State : TX
Zip : 77058
Country : US
Telephone Number : 281-486-8231
Fax Number : 281-486-8025
Provider Business Practice Location Address
First Line : 2508 BAY AREA BLVD SUITE #500
Second Line :
City : HOUSTON
State : TX
Zip : 77058
Country : US
Telephone Number : 281-486-8231
Fax Number : 281-486-8025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT WESLEY MAGNESS DDS” Practice Location

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