| The Tooth Place, P.a. | |
|
2501 Paredes Line Rd Ste B3 Brownsville TX 78526-1195 | |
| (956) 542-9200 | |
| (956) 542-9913 |
| Full Name | The Tooth Place, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2501 Paredes Line Rd Ste B3, Brownsville, Texas |
| Authorized Official Name and Position | Shelly S Martinez (DENTIST) |
| Authorized Official Contact | 9565429200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Tooth Place, P.a. 2501 Paredes Line Rd Ste B3 Brownsville TX 78526-1195 Ph: (956) 542-9200 | The Tooth Place, P.a. 2501 Paredes Line Rd Ste B3 Brownsville TX 78526-1195 Ph: (956) 542-9200 |
| NPI Number | 1144384785 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 06/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144384785 | NPI | - | NPPES |
| 151128901 | Medicaid | TX | |
| 151128902 | Medicaid | TX | |
| B20613-1 | Other | TX | TX CHIPS GROUP NUMBER |
| 172064101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20613 (Texas) | Primary |
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