# OBSIDIAN MANAGEMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Titanium Oral, Facial & Implants Surgical Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477216620
- **Authorized official:** MS. BECKY BERRILL (OFFICE MANAGER)
- **Authorized official phone:** (936) 231-8568

## Contact information

- **Practice address:** 3117 COLLEGE PARK DR STE 150, THE WOODLANDS, TX 77384-4192
- **Practice address phone:** (936) 231-8568
- **Practice address fax:** (936) 447-9738
- **Mailing address:** 3117 COLLEGE PARK DR STE 150, THE WOODLANDS, TX 77384-4192
- **Mailing address phone:** (936) 231-8568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 11/04/2021