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NPI 1366336471

NPI 1366336471 : PINEY POINT ORAL AND MAXILLOFACIAL SURGERY OF CYPRESS PLLC : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1366336471
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    Entity Type          |    Organization 
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    Legal Business Name  |    PINEY POINT ORAL AND MAXILLOFACIAL SURGERY OF CYPRESS PLLC 
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Dates
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    Enumeration Date     |    06/04/2025
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    14930 MUESCHKE RD STE 150 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77433-0952
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    Country              |    US
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    Telephone            |    713-783-5560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2450 FONDREN RD STE 320 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77063-2320
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    Country              |    US
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    Telephone            |    713-783-5560
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    Fax                  |    713-783-3116
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     RACHEL  AGUSTIN 
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    Credential           |    
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    Telephone            |    713-783-5560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    
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    License Number State |    
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