# ORAL AND FACIAL SURGERY INSTITUTE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral and Facial Surgery Institute of Houston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003216250
- **Authorized official:** GINA CASU (CREDENTIALING MANAGER)
- **Authorized official phone:** (713) 790-6477

## Contact information

- **Practice address:** 4724 SWEETWATER BLVD STE 105, SUGAR LAND, TX 77479
- **Practice address phone:** (281) 491-4545
- **Practice address fax:** (281) 491-7134
- **Mailing address:** 4724 SWEETWATER BLVD STE 105, SUGAR LAND, TX 77479-3150
- **Mailing address phone:** (281) 491-4545
- **Mailing address fax:** (281) 491-7134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30729 | TX | Yes |

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 08/08/2018