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Organization
FOX CREEK ENDODONTICS
Active
Organization
FOX CREEK ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE AGUIRRE (PATIENT COORDINATOR)
(936) 756-1676
Entity
Organization
Contact information
Practice address
2040 N LOOP 336 W STE 300, CONROE, TX 77304-3579
(936) 756-1676
(936) 756-1675
Mailing address
2040 N LOOP 336 W STE 300, CONROE, TX 77304-3579
(936) 756-1676
(936) 756-1675
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891046090
NPI
—
Enumeration date
02/19/2020
Last updated
02/19/2020
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