Organization
RJH DENTAL GROUP , PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J HALEY (DR./OWNER)
(830) 255-1684
Entity
Organization
Contact information
Practice address
404 S 7TH ST, CARRIZO SPRINGS, TX 78834-3112
(830) 255-1684
(830) 876-5591
Mailing address
PO BOX 752, CARRIZO SPRINGS, TX 78834-6752
(830) 255-1684
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090558004
—
TX
Enumeration date
05/30/2017
Last updated
12/13/2017
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