| Laresea Woods, DDS | |
|
1620 Grand Avenue Pkwy Ste 130, Pflugerville, TX 78660-2185 | |
| (512) 670-8482 | |
| (512) 215-8154 |
| Full Name | Laresea Woods |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1620 Grand Avenue Pkwy Ste 130, Pflugerville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568777654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3787 (Arkansas) | Secondary |
| 1223G0001X | Dentist - General Practice | 33259 (Texas) | Primary |
| Entity Name | Conglomerate Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154955805 PECOS PAC ID: 6901222371 Enrollment ID: O20200717001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Laresea Woods, DDS 2721 Monte Ranch Trl, Leander, TX 78641-4371 Ph: (334) 590-4223 | Laresea Woods, DDS 1620 Grand Avenue Pkwy Ste 130, Pflugerville, TX 78660-2185 Ph: (512) 670-8482 |
Sarah Abdulrahman, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Wells Branch Pkwy Ste 490, Pflugerville, TX 78660 Phone: 614-602-9572 | |
Sarah Wojciechowski, Dentist Medicare: Not Enrolled in Medicare Practice Location: 15300 Fm 1825 Ste 104b, Pflugerville, TX 78660 Phone: 512-251-4121 Fax: 512-251-3258 | |
Keaton Shin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 17315 Arcata Ave, Pflugerville, TX 78660 Phone: 512-484-9161 | |
Michael Roberts, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1553 Fm 685 Ste 400, Pflugerville, TX 78660 Phone: 310-728-0128 | |
Dr. Christopher Carlin Richards, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15300 Fm 1825 # B, Ste. 104, Pflugerville, TX 78660 Phone: 512-251-4121 | |
Jennifer Quynh-nhu Ngo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2324 Fm 685 Ste 400, Pflugerville, TX 78660 Phone: 512-265-8426 | |
Farrah Agahi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 302 N Heatherwilde Blvd Ste 430, Pflugerville, TX 78660 Phone: 512-872-2763 |