| Reconstructive Oral and Maxillofacial Surgery PA | |
|
2601 W Trenton Rd Edinburg TX 78539-3432 | |
| (956) 664-1695 | |
| (956) 664-1798 |
| Full Name | Reconstructive Oral and Maxillofacial Surgery PA |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2601 W Trenton Rd, Edinburg, Texas |
| Authorized Official Name and Position | Francisco M Perez (DOCTOR CO OWNER) |
| Authorized Official Contact | 9566641695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reconstructive Oral and Maxillofacial Surgery PA 2601 W Trenton Rd Edinburg TX 78539-3432 Ph: (956) 664-1695 | Reconstructive Oral and Maxillofacial Surgery PA 2601 W Trenton Rd Edinburg TX 78539-3432 Ph: (956) 664-1695 |
| NPI Number | 1629067657 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 08/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629067657 | NPI | - | NPPES |
| 164024502 | Medicaid | TX | |
| 164024501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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