MEDICARE: M. MEHRINFAR, 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	261QD0000X	Dental Clinic/Center	17535	TX

General Provider Information

NPI Number	:	1558528299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. MEHRINFAR, DDS, PA

Provider Business Mailing Address
First Line	:	2909 HILLCROFT ST
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77057-5847
Country	:	US
Telephone Number	:	713-706-3368
Fax Number	:	713-706-3370

Provider Business Practice Location Address
First Line	:	2909 HILLCROFT ST
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77057-5847
Country	:	US
Telephone Number	:	713-706-3368
Fax Number	:	713-706-3370

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAJID MEHRINFAR
Credential	:	DDS
Telephone Number	:	713-706-3368

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	05/20/2008

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