Healthcare Provider Details

I. General information

NPI: 1790137925
Provider Name (Legal Business Name): ADRIEN LEWIS THERIOT D.D.S., M.S.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 KATY FWY STE 220
HOUSTON TX
77024-1689
US

IV. Provider business mailing address

8800 KATY FWY STE 220
HOUSTON TX
77024-1689
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-1509
  • Fax:
Mailing address:
  • Phone: 713-461-1509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number31960
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number31960
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: