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Organization
GREATER HOUSTON ORAL AND FACIAL SURGERY,PA
Active
Organization
GREATER HOUSTON ORAL AND FACIAL SURGERY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTH RAVI DMD (PRESIDENT)
(713) 944-0864
Entity
Organization
Contact information
Practice address
4007 WOODLAWN AVE, PASADENA, TX 77504-1910
(713) 944-0864
(713) 944-7737
Mailing address
4007 WOODLAWN AVE, PASADENA, TX 77504-1910
(713) 944-0864
(713) 944-7737
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
29763
TX
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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