| Smilerx, Pa | |
|
102 Estrella Horseshoe Bay TX 78657 | |
| (702) 738-5334 | |
| Not Available |
| Full Name | Smilerx, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 102 Estrella, Horseshoe Bay, Texas |
| Authorized Official Name and Position | Chester Lynn Hurst (OWNER/CEO/PRESIDENT) |
| Authorized Official Contact | 7027385334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilerx, Pa Po Box 8171 Horseshoe Bay TX 78657-8171 Ph: (702) 738-5334 | Smilerx, Pa 102 Estrella Horseshoe Bay TX 78657 Ph: (702) 738-5334 |
| NPI Number | 1790094043 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790094043 | NPI | - | NPPES |
| 1208795 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14067 (Texas) | Primary |
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