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NPI Code Detail

MEDICARE: DR. MARY HELAINNE VILLAFLOR AUSTRIA DDS

MEDICARE: DR. MARY HELAINNE VILLAFLOR AUSTRIA 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 Dentistry051299NY
21223G0001XGeneral Practice Dentistry24770TX

General Provider Information

NPI Number : 1922197821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY HELAINNE VILLAFLOR AUSTRIA DDS
Provider Business Mailing Address
First Line : 8526 HOLT ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-4003
Country : US
Telephone Number : 713-790-1111
Fax Number :
Provider Business Practice Location Address
First Line : 13247 EAST FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77015-5812
Country : US
Telephone Number : 713-451-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 09/09/2010

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