Individual
E. MAURICIO CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13750 BRITOAK LN STE 100, HOUSTON, TX 77079-2011
(713) 468-8264
Mailing address
13750 BRITOAK LN STE 100, HOUSTON, TX 77079-2011
(713) 468-8264
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18518
TX
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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