Organization
ST. JUDE DENTAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMEKA JUDE ABAZIE DDS (DENTIST)
(972) 224-5397
Entity
Organization
Contact information
Practice address
8420 S SAM HOUSTON PKWY W STE 260, HOUSTON, TX 77085-2283
(972) 224-5397
(972) 224-0344
Mailing address
1001 N BECKLEY AVE #420C, DESOTO, TX 75115
(972) 224-5397
(972) 224-0344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578657763
—
TX
Enumeration date
04/14/2010
Last updated
04/14/2010
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