| Dr Lorena Chacon-smith, DDS | |
|
905 N Gulf Blvd, Freeport, TX 77541-3907 | |
| (281) 824-1490 | |
| (281) 220-6407 |
| Full Name | Dr Lorena Chacon-smith |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 905 N Gulf Blvd, Freeport, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982089074 | NPI | - | NPPES |
| 364193801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31209 (Texas) | Primary |
| Entity Name | Stephen F. Austin Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578730818 PECOS PAC ID: 6204977127 Enrollment ID: O20100113000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lorena Chacon-smith, DDS 2491 Woodbury St, Pearland, TX 77584-4801 Ph: (719) 660-6312 | Dr Lorena Chacon-smith, DDS 905 N Gulf Blvd, Freeport, TX 77541-3907 Ph: (281) 824-1490 |
Dr. Jeffrey L Copeland, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1723 N Avenue K, Freeport, TX 77541 Phone: 979-233-1581 | |
Dr. Isaiah L Harris Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1723 N Avenue K, Freeport, TX 77541 Phone: 979-233-1581 Fax: 979-233-8355 | |
Farh El Alfy, Dentist Medicare: Medicare Enrolled Practice Location: 905 N Gulf Blvd, Freeport, TX 77541 Phone: 281-824-1490 Fax: 281-220-6407 | |
Sravani Kilaru, Dentist Medicare: Medicare Enrolled Practice Location: 905 N Gulf Blvd, Freeport, TX 77541 Phone: 281-824-1480 |