MEDICARE: HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC

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	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)

General Provider Information

NPI Number	:	1306646286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2753
Country	:	US
Telephone Number	:	713-441-5577
Fax Number	:

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2753
Country	:	US
Telephone Number	:	713-441-5577
Fax Number	:

Authorized Official
Title or Position	:	VP REVENUE CYCLE OPERATIONS
Name	:	AMY PREMETZ
Credential	:
Telephone Number	:	281-302-9682

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	03/18/2025

Similar Medicare Providers

1043249287 — DR. NAGI M DEMIAN D.D.S.
Practice Location Address:

6560 FANNIN ST STE 1280
HOUSTON, TX
77030-2753

Practice Phone: 713-441-5577
Practice Fax: 713-793-1869

1780646760 — BARBARA JANE WILSON MD,FACS
Practice Location Address:

6560 FANNIN ST STE 1803
HOUSTON, TX
77030-2753

Practice Phone: 832-530-4081
Practice Fax: 832-530-4082

1013388107 — ABDULLAHI HASSAN DDS
Practice Location Address:

6560 FANNIN ST STE 1280
HOUSTON, TX
77030-2753

Practice Phone: 832-876-9631
Practice Fax:

1104338185 — DR. BRAYANN OSCAR ALEMAN DMD, MSD, FAACS
Practice Location Address:

6560 FANNIN ST STE 1280
HOUSTON, TX
77030-2753

Practice Phone: 713-441-5577
Practice Fax: 713-793-1869

1912532771 — JAVIANNA VANESSA CASTELLANOS FERRER
Practice Location Address:

6560 FANNIN ST STE 1280
HOUSTON, TX
77030-2753

Practice Phone: 713-441-5577
Practice Fax:

1295094977 — LITTLE ANGELS HEALTH CARE SERVICES INC
Practice Location Address:

8100 SANDS POINT DR , APT 2028
HOUSTON, TX
77036-2753

Practice Phone: 832-620-8635
Practice Fax:

Directions to “HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.