Healthcare Provider Details

I. General information

NPI: 1942609367
Provider Name (Legal Business Name): MIRCEA DANIEL CHIRLA D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 10/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2156 SPRING STUEBNER RD
SPRING TX
77389-4813
US

IV. Provider business mailing address

2536 AMHERST ST STE A
HOUSTON TX
77005-3207
US

V. Phone/Fax

Practice location:
  • Phone: 713-587-9996
  • Fax:
Mailing address:
  • Phone: 713-490-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30314
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: