| St. Jude Dental P.c | |
|
8420 S Sam Houston Pkwy W Ste 260 Houston TX 77085-2283 | |
| (972) 224-5397 | |
| (972) 224-0344 |
| Full Name | St. Jude Dental P.c |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8420 S Sam Houston Pkwy W Ste 260, Houston, Texas |
| Authorized Official Name and Position | Emeka Jude Abazie (DENTIST) |
| Authorized Official Contact | 9722245397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Jude Dental P.c 1001 N Beckley Ave #420c Desoto TX 75115 Ph: (972) 224-5397 | St. Jude Dental P.c 8420 S Sam Houston Pkwy W Ste 260 Houston TX 77085-2283 Ph: (972) 224-5397 |
| NPI Number | 1053637199 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053637199 | NPI | - | NPPES |
| 1578657763 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22568 (Texas) | Primary |
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