| Iris V. Korus Dds Inc. | |
|
100-102 E. California Ave. Valentine TX 79854-0098 | |
| (432) 467-2064 | |
| Not Available |
| Full Name | Iris V. Korus Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100-102 E. California Ave., Valentine, Texas |
| Authorized Official Name and Position | Iris Virginia Korus (OWNER) |
| Authorized Official Contact | 4324672064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris V. Korus Dds Inc. Po Box 98 100-102 E. California Ave. Valentine TX 79854-0098 Ph: (432) 467-2064 | Iris V. Korus Dds Inc. 100-102 E. California Ave. Valentine TX 79854-0098 Ph: (432) 467-2064 |
| NPI Number | 1659632412 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659632412 | NPI | - | NPPES |
| 090943402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11995 (Texas) | Primary |