Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc | |
205 S State Highway 46 Seguin TX 78155-7504 | |
(830) 372-9811 | |
Not Available |
Full Name | Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 205 S State Highway 46, Seguin, Texas |
Authorized Official Name and Position | Krystal Richardson (DIRECTOR OF RCM) |
Authorized Official Contact | 2149347995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc 820 W 42nd St Ste 2300 Scottsbluff NE 69361-5016 Ph: (308) 260-0241 | Clark Colville And Kelly Heetland Specialty Partners Of Texas Pllc 205 S State Highway 46 Seguin TX 78155-7504 Ph: (830) 372-9811 |
NPI Number | 1386522233 |
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Provider Enumeration Date | 08/26/2025 |
Last Update Date | 08/26/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386522233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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