| Weera Family Dentistry, Pllc | |
|
6001 Hillcroft St Ste 600 Houston TX 77081-1016 | |
| (713) 392-1993 | |
| Not Available |
| Full Name | Weera Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6001 Hillcroft St Ste 600, Houston, Texas |
| Authorized Official Name and Position | Surachon Weerachartkul (OWNER/PRESIDENT) |
| Authorized Official Contact | 7133921993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weera Family Dentistry, Pllc 6001 Hillcroft Ave Ste 600 Houston TX 77081 Ph: (713) 392-1993 | Weera Family Dentistry, Pllc 6001 Hillcroft St Ste 600 Houston TX 77081-1016 Ph: (713) 392-1993 |
| NPI Number | 1760903439 |
|---|---|
| Provider Enumeration Date | 07/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760903439 | NPI | - | NPPES |
| 1447489463 | Medicaid | TX | |
| 1881843241 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24536 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | 24263 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | 24536 (Texas) | Primary |
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