Individual
DR. SAM ROBERT ADKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
UNIVERSITY OF TEXAS DENTAL BRANCH, 6516 MD ANDERSON BLVD., HOUSTON, TX 77030-3402
(713) 500-4140
(713) 500-4353
Mailing address
2811 BERMUDA DUNES DR, MISSOURI CITY, TX 77459-2425
(713) 500-4140
(713) 500-4353
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
F21812
TX
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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