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NPI Code Detail

MEDICARE: DR. ELLEN E LIM DDS

MEDICARE:  DR. ELLEN E LIM  DDS
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
1122300000XDentistTX18361TX

General Provider Information

NPI Number : 1518048297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLEN E LIM DDS
Provider Business Mailing Address
First Line : 3700 BUFFALO SPEEDWAY
Second Line : 310
City : HOUSTON
State : TX
Zip : 77098
Country : US
Telephone Number : 713-850-9699
Fax Number : 713-850-1676
Provider Business Practice Location Address
First Line : 3700 BUFFALO SPEEDWAY
Second Line : 310
City : HOUSTON
State : TX
Zip : 77098
Country : US
Telephone Number : 713-850-9699
Fax Number : 713-850-1676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ELLEN E LIM DDS” Practice Location

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