| Carus Dental Pc | |
|
16000 Park Valley Dr Ste 160 Round Rock TX 78681-4009 | |
| (512) 733-8308 | |
| (512) 310-0451 |
| Full Name | Carus Dental Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 16000 Park Valley Dr Ste 160, Round Rock, Texas |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carus Dental Pc 16000 Park Valley Dr Ste 160 Round Rock TX 78681-4009 Ph: (512) 733-8308 | Carus Dental Pc 16000 Park Valley Dr Ste 160 Round Rock TX 78681-4009 Ph: (512) 733-8308 |
| NPI Number | 1114477353 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114477353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 15919 (Texas) | Primary |
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