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Organization
HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC
Active
Organization
HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PREMETZ (VP REVENUE CYCLE OPERATIONS)
(281) 302-9682
Entity
Organization
Contact information
Practice address
6560 FANNIN ST STE 1280, HOUSTON, TX 77030-2753
(713) 441-5577
Mailing address
6560 FANNIN ST STE 1280, HOUSTON, TX 77030-2753
(713) 441-5577
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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