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8678 Louetta Rd Ste A Spring TX 77379-6680 | |
(281) 376-3959 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 8678 Louetta Rd Ste A, Spring, Texas |
Authorized Official Name and Position | Cassandra Teutsch (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175408972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8678 Louetta Rd Ste A Spring TX 77379-6680 Ph: (281) 376-3959 | 8678 Louetta Rd Ste A Spring TX 77379-6680 Ph: (281) 376-3959 |
NPI Number | 1316499296 |
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Provider Enumeration Date | 10/26/2016 |
Last Update Date | 09/10/2018 |
Identifier | Type | State | Issuer |
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1316499296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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