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7844 Long Point Rd Houston TX 77055-3621 | |
| (713) 956-8767 | |
| (713) 956-1952 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7844 Long Point Rd, Houston, Texas |
| Authorized Official Name and Position | Juan C Echeverri (PRESIDENT) |
| Authorized Official Contact | 7139568767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7844 Long Point Rd Houston TX 77055-3621 Ph: (713) 956-8767 | 7844 Long Point Rd Houston TX 77055-3621 Ph: (713) 956-8767 |
| NPI Number | 1790805141 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790805141 | NPI | - | NPPES |
| 126742905 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16902 (Texas) | Primary |
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