Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
Other names
Orthodontix, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. VONDRAK DDS (OPERATING MANAGER)
(361) 853-1900
Entity
Organization
Contact information
Practice address
1620 S PADRE ISLAND DR, SUITE 230B, CORPUS CHRISTI, TX 78416-1353
(361) 853-1900
(361) 853-1904
Mailing address
1620 S PADRE ISLAND DR, SUITE 230B, CORPUS CHRISTI, TX 78416-1353
(361) 853-1900
(361) 853-1904
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820296
UNITED CONCORDIA
TX
Enumeration date
05/17/2006
Last updated
08/22/2020
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