# HOUSTON METHODIST ORAL AND MAXILLOFACIAL SURGEONS, PLLC

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

## Provider details

- **NPI number:** 1306646286
- **Authorized official:** AMY PREMETZ (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (281) 302-9682

## Contact information

- **Practice address:** 6560 FANNIN ST STE 1280, HOUSTON, TX 77030-2753
- **Practice address phone:** (713) 441-5577
- **Mailing address:** 6560 FANNIN ST STE 1280, HOUSTON, TX 77030-2753
- **Mailing address phone:** (713) 441-5577

## 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:** 03/18/2025
- **Last updated:** 03/18/2025