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Organization
STH, PLLC
Active
Organization
STH, PLLC
Active
Other names
Brushy Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY T HAMAMCY D.M.D. (OWNER)
(512) 580-9200
Entity
Organization
Contact information
Practice address
15534 RANCH ROAD 620 N, STE 300, AUSTIN, TX 78717-5276
(512) 580-9200
(512) 580-9201
Mailing address
15534 RANCH ROAD 620 N, STE 300, AUSTIN, TX 78717-5276
(512) 580-9200
(512) 580-9201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184551318
—
TX
Enumeration date
01/11/2016
Last updated
01/11/2016
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