# ELIZABETH CARRILLO D.M.D. P.A

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

## Provider details

- **NPI number:** 1356526248
- **Authorized official:** ELIZABETH CARRILLO D.M.D (GENERAL DENTIST)
- **Authorized official phone:** (713) 692-7600

## Contact information

- **Practice address:** 5803 AIRLINE DR, HOUSTON, TX 77076-4922
- **Practice address phone:** (713) 692-7600
- **Practice address fax:** (713) 692-7649
- **Mailing address:** 5803 AIRLINE DR, HOUSTON, TX 77076-4922
- **Mailing address phone:** (713) 692-7600
- **Mailing address fax:** (713) 692-7649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 20746 | TX | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 01/09/2008