NPI 1093048571 · live from the CMS NPI Registry
A 1 Dental
Dentist, General Practice in Houston, TX. National Provider Identifier 1093048571, active.
NPI record
| NPI | 1093048571 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8101 Fondren Rd, Houston, TX 77074 |
| Practice phone | 713-774-3999 |
| Enumerated | September 15, 2009 |
| Last updated | September 15, 2009 |
| Authorized official | Jeanneth Castro, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.