DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IMMANUEL DENTAL CENTER

MEDICARE: IMMANUEL DENTAL CENTER
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 DentistryTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942527213
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMMANUEL DENTAL CENTER
Provider Business Mailing Address
First Line : 1147 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8102
Country : US
Telephone Number : 281-286-5867
Fax Number : 281-286-6551
Provider Business Practice Location Address
First Line : 1147 CLEAR LAKE CITY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77062-8102
Country : US
Telephone Number : 281-286-5867
Fax Number : 281-286-6551
Authorized Official
Title or Position : DENTISTS
Name : DR. NAGY B GHATTAS
Credential : D.D.S
Telephone Number : 281-286-5867
Provider Enumeration Date : 04/27/2010
Last Update Date : 04/27/2010

Similar Medicare Providers

1205865946 — MISS RACHEL E SPIVEY PT, DPT, OCS, MTC
Practice Location Address:
1117 CLEAR LAKE CITY BLVD
HOUSTON, TX
77062-8102
Practice Phone: 832-224-4735
Practice Fax: 832-224-4679
1689995508 — ERIC DAVID SANTIAGO
Practice Location Address:
1117 CLEAR LAKE CITY BLVD
HOUSTON, TX
77062-8102
Practice Phone: 832-224-4735
Practice Fax: 832-224-4679
1629356761 — TX770911-002, LLC
Practice Location Address:
1117 CLEAR LK CTY BLVD
HOUSTON, TX
77062-8102
Practice Phone: 281-401-9789
Practice Fax: 281-401-9779
1083016604 — NOEMI GONZALEZ PT, MSPT
Practice Location Address:
1117 CLEAR LAKE CITY BLVD
HOUSTON, TX
77062-8102
Practice Phone: 832-224-4735
Practice Fax: 832-224-4679
1013377837 — TRINITY PHYSICAL THERAPY INC.
Practice Location Address:
1117 CLEAR LAKE CITY BLVD
HOUSTON, TX
77062-8102
Practice Phone: 832-224-4735
Practice Fax: 832-224-4679
1639756596 — ASHLEY ELLIS DPT
Practice Location Address:
1117 CLEAR LAKE CITY BLVD
HOUSTON, TX
77062-8102
Practice Phone: 832-224-4735
Practice Fax:

Directions to “IMMANUEL DENTAL CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.