# EMERALD VENTURE

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

## Provider details

- **NPI number:** 1699065037
- **Authorized official:** A PHAM (SECRETARY)
- **Authorized official phone:** (713) 382-9893

## Contact information

- **Practice address:** 11602 VETERANS MEMORIAL DR, SUITE E, HOUSTON, TX 77067-2606
- **Practice address phone:** (713) 382-9893
- **Practice address fax:** (713) 382-9893
- **Mailing address:** PO BOX 293, BARKER, TX 77413-0293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 04/19/2011