| Lake Texana Family Dentistry | |
|
502 N Wells St Edna TX 77957-2749 | |
| (361) 782-2223 | |
| Not Available |
| Full Name | Lake Texana Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 502 N Wells St, Edna, Texas |
| Authorized Official Name and Position | Eric Owen (PRESIDENT) |
| Authorized Official Contact | 3617822223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Texana Family Dentistry 502 N Wells St Edna TX 77957-2749 Ph: () - | Lake Texana Family Dentistry 502 N Wells St Edna TX 77957-2749 Ph: (361) 782-2223 |
| NPI Number | 1790257491 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790257491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Jackson County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 S Wells St, Edna, TX 77957 Phone: 361-782-7800 Fax: 361-782-7495 | |
La Bauve Drug Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E Main St, Edna, TX 77957 Phone: 361-782-3313 | |
Jackson County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013a South Wells Street, Edna, TX 77957 Phone: 361-782-3560 Fax: 361-782-5627 |