MEDICARE: HST PLLC

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	1223G0001X	General Practice Dentistry	28391	TX

General Provider Information

NPI Number	:	1790119741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HST PLLC

Provider Business Mailing Address
First Line	:	3701 W NORTHWEST HWY
Second Line	:	SUITE #306
City	:	DALLAS
State	:	TX
Zip	:	75220-4962
Country	:	US
Telephone Number	:	214-353-0683
Fax Number	:	972-764-8760

Provider Business Practice Location Address
First Line	:	3701 W NORTHWEST HWY
Second Line	:	SUITE #306
City	:	DALLAS
State	:	TX
Zip	:	75220-4955
Country	:	US
Telephone Number	:	214-353-0683
Fax Number	:	972-764-8760

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	MR. HAMID KASHANI
Credential	:	DDS
Telephone Number	:	214-353-0683

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	06/27/2024

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