| Family Dentistry Of Houston Pc | |
|
13145 Veterans Memorial Dr Houston TX 77014-1903 | |
| (281) 580-4830 | |
| (855) 313-5067 |
| Full Name | Family Dentistry Of Houston Pc |
|---|---|
| Speciality | Dentist |
| Location | 13145 Veterans Memorial Dr, Houston, Texas |
| Authorized Official Name and Position | Carmen Marmol (OFFICE MANAGER) |
| Authorized Official Contact | 2815804830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Houston Pc 13145 Veterans Memorial Dr Houston TX 77014-1903 Ph: (281) 580-4830 | Family Dentistry Of Houston Pc 13145 Veterans Memorial Dr Houston TX 77014-1903 Ph: (281) 580-4830 |
| NPI Number | 1013323435 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 4284045477 |
|---|---|
| Medicare Enrollment ID | O20201118003143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013323435 | NPI | - | NPPES |
| 350318702 | Medicaid | TX | |
| 350318701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25663 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Huan Lu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669787248 PECOS PAC ID: 5193136380 Enrollment ID: I20201118003214 |
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