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General NPI Number Information
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NPI Number | 1790671121
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Entity Type | Organization
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Legal Business Name | THE AIRWAY DENTISTS OF TEXAS, PLLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 8190 BARKER CYPRESS RD STE 200
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City | CYPRESS
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State | TX
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Zip | 77433-2279
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Country | US
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Telephone | 281-703-9468
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Fax |
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Provider Business Mailing Address
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Address Line | 501 S FRIENDSWOOD DR STE 105
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4695
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Country | US
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Telephone | 281-816-3040
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATION
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Name | JACKIE MARTINEZ
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Credential |
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Telephone | 281-703-9486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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