MEDICARE: PALMIRA TESTA DDS 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	17997	TX

General Provider Information

NPI Number	:	1144327651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMIRA TESTA DDS PA

Provider Business Mailing Address
First Line	:	2202 WAUGH DR.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1118
Country	:	US
Telephone Number	:	713-521-3131
Fax Number	:	713-521-1222

Provider Business Practice Location Address
First Line	:	2202 WAUGH DR.
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1118
Country	:	US
Telephone Number	:	713-521-3131
Fax Number	:	713-521-1222

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. PALMIRA ROSA TESTA
Credential	:	DDS
Telephone Number	:	713-521-3131

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	06/20/2023

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