MEDICARE: NOOSHIN B ESPILI PA

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	18118	TX

General Provider Information

NPI Number	:	1083731251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOOSHIN B ESPILI PA

Provider Business Mailing Address
First Line	:	6804 H HIGHWAY 6 SOUTH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083
Country	:	US
Telephone Number	:	281-495-4100
Fax Number	:	281-988-6200

Provider Business Practice Location Address
First Line	:	6804 H HIGHWAY 6 SOUTH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083
Country	:	US
Telephone Number	:	281-495-4100
Fax Number	:	281-988-6200

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	NOOSHIN B ESPILI
Credential	:	DDS
Telephone Number	:	281-495-4100

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/07/2008

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