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NPI Code Detail

MEDICARE: ONELIA ISABEL DE LA CRUZ RDH

MEDICARE: ONELIA ISABEL DE LA CRUZ RDH
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
1124Q00000XDental Hygienist13670TX

General Provider Information

NPI Number : 1699986232
Entity Type Code : Individual
Provider Name (Legal Business Name) : ONELIA ISABEL DE LA CRUZ RDH
Provider Business Mailing Address
First Line : 5825 GULFTON ST APT 3204
Second Line :
City : HOUSTON
State : TX
Zip : 77081-2525
Country : US
Telephone Number : 713-667-5184
Fax Number :
Provider Business Practice Location Address
First Line : 412 TELEPHONE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77023-1840
Country : US
Telephone Number : 713-926-6229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 09/06/2023

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Directions to “ ONELIA ISABEL DE LA CRUZ RDH” Practice Location

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