# TEXAS ORAL AND FACIAL SURGERY

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

## Provider details

- **NPI number:** 1477540052
- **Authorized official:** RAYMOND L WIGGINS D.D.S., M.D. (DR)
- **Authorized official phone:** (281) 395-1200

## Contact information

- **Practice address:** 810 S MASON RD, SUITE 301, KATY, TX 77450-3895
- **Practice address phone:** (281) 395-1200
- **Practice address fax:** (281) 395-1201
- **Mailing address:** 810 S MASON RD, SUITE 301, KATY, TX 77450-3895
- **Mailing address phone:** (281) 395-1200
- **Mailing address fax:** (281) 395-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18986 | TX | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 03/05/2013