# FAMILY DENTISTRY OF HOUSTON PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013323435
- **Authorized official:** CARMEN MARMOL (OFFICE MANAGER)
- **Authorized official phone:** (281) 580-4830

## Contact information

- **Practice address:** 13145 VETERANS MEMORIAL DR, HOUSTON, TX 77014-1903
- **Practice address phone:** (281) 580-4830
- **Practice address fax:** (855) 313-5067
- **Mailing address:** 13145 VETERANS MEMORIAL DR, HOUSTON, TX 77014-1903
- **Mailing address phone:** (281) 580-4830
- **Mailing address fax:** (855) 313-5067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25663 | TX | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 08/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 350318701 | — | TX |
| 05 | — | 350318702 | — | TX |