Organization
EMERALD PARKWAY SLEEP DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WILLIAMS (OWNER)
(979) 695-8029
Entity
Organization
Contact information
Practice address
1511 EMERALD PLZ, COLLEGE STATION, TX 77845-1501
(979) 695-8029
Mailing address
1511 EMERALD PLZ, COLLEGE STATION, TX 77845-1501
(979) 695-8029
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
15115
TX
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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