Healthcare Provider Details

I. General information

NPI: 1346487329
Provider Name (Legal Business Name): TZY LING LINDA KUO D.D.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6804 HIGHWAY 6 S STE H
HOUSTON TX
77083-3397
US

IV. Provider business mailing address

6804 HIGHWAY 6 S STE H
HOUSTON TX
77083-3397
US

V. Phone/Fax

Practice location:
  • Phone: 281-495-4100
  • Fax: 281-988-6200
Mailing address:
  • Phone: 281-495-4100
  • Fax: 281-988-6200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number57859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: