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Organization
SUMMERWOOD ORAL & MAXILLOFACIAL SURGERY
Active
Organization
SUMMERWOOD ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX BACHOURA DDS,MD (PRESIDENT)
(713) 817-4557
Entity
Organization
Contact information
Practice address
13141 W LAKE HOUSTON PKWY, STE. 700, HOUSTON, TX 77044
(281) 256-8400
Mailing address
26321 NORTHWEST FREEWAY, STE. 700, CYPRESS, TX 77429
(832) 689-6311
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/15/2012
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