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Organization
ROY L TIEMEYER DDSPC
Active
Organization
ROY L TIEMEYER DDSPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY L TIEMEYER DDS DDS (DENTIST)
(361) 937-3157
Entity
Organization
Contact information
Practice address
10338 S.P.I.D.#2, CORPUS CHRISTI, TX 78418
(361) 937-3157
Mailing address
10338 S.P.I.D.#2, CORPUS CHRISTI, TX 78418
(361) 937-3157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
667397
UNITED CONCORDIA
—
Enumeration date
08/14/2006
Last updated
08/22/2020
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