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NPI Code Detail

MEDICARE: UNION HISPANA CORPORATION

MEDICARE: UNION HISPANA CORPORATION
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 Dentistry

General Provider Information

NPI Number : 1689920340
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNION HISPANA CORPORATION
Provider Business Mailing Address
First Line : 4654 HIGHWAY 6 N
Second Line : SUITE 401
City : HOUSTON
State : TX
Zip : 77084-2868
Country : US
Telephone Number : 832-683-4034
Fax Number : 832-683-4782
Provider Business Practice Location Address
First Line : 4654 HIGHWAY 6 N
Second Line : SUITE 401
City : HOUSTON
State : TX
Zip : 77084-2868
Country : US
Telephone Number : 832-683-4034
Fax Number : 832-683-4782
Authorized Official
Title or Position : DENTIST
Name : DR. JOSEPH C RILEY
Credential : DMD
Telephone Number : 832-683-4034
Provider Enumeration Date : 07/31/2012
Last Update Date : 07/31/2012

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Directions to “UNION HISPANA CORPORATION ” Practice Location

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