# EAGLE DENTAL TEXAS PLLC

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

## Provider details

- **NPI number:** 1558934943
- **Authorized official:** DR. BEENA G JOHN DDS (DENTIST/PARTNER/OWNER)
- **Authorized official phone:** (281) 494-9191

## Contact information

- **Practice address:** 1482 HIGHWAY 6, SUGAR LAND, TX 77478-4907
- **Practice address phone:** (281) 494-9191
- **Practice address fax:** (281) 494-8949
- **Mailing address:** 1482 HIGHWAY 6, SUGAR LAND, TX 77478-4907
- **Mailing address phone:** (281) 494-9191
- **Mailing address fax:** (281) 494-8949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2021
- **Last updated:** 07/22/2021
