| Oms Physicians Group Pllc | |
|
1422 Main St Suite 240 Southlake TX 76092-7625 | |
| (817) 424-1166 | |
| Not Available |
| Full Name | Oms Physicians Group Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1422 Main St, Southlake, Texas |
| Authorized Official Name and Position | Gregory David Taylor (OWNER) |
| Authorized Official Contact | 8174241166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oms Physicians Group Pllc 1422 Main St Suite 240 Southlake TX 76092-7625 Ph: (817) 424-1166 | Oms Physicians Group Pllc 1422 Main St Suite 240 Southlake TX 76092-7625 Ph: (817) 424-1166 |
| NPI Number | 1770711392 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770711392 | NPI | - | NPPES |
| H87528 | Other | TX | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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