MEDICARE: DR. ZEB FERDINAN POINDEXTER D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	14351	TX

General Provider Information

NPI Number	:	1073545992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZEB FERDINAN POINDEXTER D.D.S

Provider Business Mailing Address
First Line	:	7703 CULLEN BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051
Country	:	US
Telephone Number	:	713-734-7611
Fax Number	:	713-731-1766

Provider Business Practice Location Address
First Line	:	7703 CULLEN BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-1905
Country	:	US
Telephone Number	:	713-734-7611
Fax Number	:	713-731-1766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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