| National Orthodontix Management, Llc | |
|
7500 N Mesa Suite 304 El Paso TX 79912-3512 | |
| (915) 231-9983 | |
| (915) 231-9966 |
| Full Name | National Orthodontix Management, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7500 N Mesa, El Paso, Texas |
| Authorized Official Name and Position | John G. Vondrak (OPERATING MANAGER) |
| Authorized Official Contact | 9152319983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Orthodontix Management, Llc 7500 N Mesa Suite 304 El Paso TX 79912-3512 Ph: (915) 231-9983 | National Orthodontix Management, Llc 7500 N Mesa Suite 304 El Paso TX 79912-3512 Ph: (915) 231-9983 |
| NPI Number | 1669532735 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669532735 | NPI | - | NPPES |
| 113053 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13047 (Texas) | Primary |
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