Organization
ELEVATED ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA C PORRAS DMD (MANAGER/OWNER)
(281) 940-5315
Entity
Organization
Contact information
Practice address
1106 WITTE RD STE 300, HOUSTON, TX 77055-2164
(281) 940-5315
Mailing address
1106 WITTE RD STE 300, HOUSTON, TX 77055-2164
(281) 940-5315
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/22/2023
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