# TIPPIT DENTAL GROUP BRENHAM, PLLC

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

## Provider details

- **NPI number:** 1104344373
- **Authorized official:** MS. THERESA LYNN NAVARRO SHRM-SCP (BUSINESS/HR MANAGER)
- **Authorized official phone:** (713) 465-1860

## Contact information

- **Practice address:** 501 MEDICAL PKWY, BRENHAM, TX 77833-5405
- **Practice address phone:** (979) 836-5666
- **Practice address fax:** (979) 251-9945
- **Mailing address:** 9099 KATY FWY STE 140, HOUSTON, TX 77024-1632
- **Mailing address phone:** (713) 465-1860
- **Mailing address fax:** (713) 932-0564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 06/16/2018