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NPI Code Detail

MEDICARE: DR. CHRISTINE HERVAS DDS

MEDICARE:  DR. CHRISTINE  HERVAS  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
11223G0001XGeneral Practice Dentistry20043TX

General Provider Information

NPI Number : 1659402253
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE HERVAS DDS
Provider Business Mailing Address
First Line : 5801 YORK BRIDGE CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78749-2210
Country : US
Telephone Number : 512-699-7563
Fax Number :
Provider Business Practice Location Address
First Line : 8015 SHOAL CREEK BLVD STE 108
Second Line :
City : AUSTIN
State : TX
Zip : 78757-8051
Country : US
Telephone Number : 512-454-5219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 03/20/2020

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Directions to “ DR. CHRISTINE HERVAS DDS” Practice Location

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