Organization
TMHPO ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY DIRK SOSTMAN MD (PRESIDENT & CEO)
(713) 790-2221
Entity
Organization
Contact information
Practice address
6560 FANNIN ST, SUITE 1228, HOUSTON, TX 77030-2761
(713) 441-5577
(713) 793-7092
Mailing address
6565 FANNIN ST, D200, HOUSTON, TX 77030-2703
(713) 790-2221
(713) 793-7092
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
10/02/2009
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