# TMHPO ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1174544738
- **Authorized official:** DR. HENRY DIRK SOSTMAN MD (PRESIDENT & CEO)
- **Authorized official phone:** (713) 790-2221

## Contact information

- **Practice address:** 6560 FANNIN ST, SUITE 1228, HOUSTON, TX 77030-2761
- **Practice address phone:** (713) 441-5577
- **Practice address fax:** (713) 793-7092
- **Mailing address:** 6565 FANNIN ST, D200, HOUSTON, TX 77030-2703
- **Mailing address phone:** (713) 790-2221
- **Mailing address fax:** (713) 793-7092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 10/02/2009