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NPI Code Detail

MEDICARE: UVALDE DENTAL

MEDICARE: UVALDE DENTAL
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 Dentistry19142TX

General Provider Information

NPI Number : 1972784346
Entity Type Code : Organization
Provider Name (Legal Business Name) : UVALDE DENTAL
Provider Business Mailing Address
First Line : 174 UVALDE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77015-1506
Country : US
Telephone Number : 713-451-2955
Fax Number : 713-451-3655
Provider Business Practice Location Address
First Line : 174 UVALDE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77015-1506
Country : US
Telephone Number : 713-451-2955
Fax Number : 713-451-3655
Authorized Official
Title or Position : DENTIST
Name : ALINE T TRAN
Credential : DDS
Telephone Number : 713-451-2955
Provider Enumeration Date : 11/14/2007
Last Update Date : 11/14/2007

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Directions to “UVALDE DENTAL ” Practice Location

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