Organization
PROSTHODONTICS OF TEXAS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART WHITNEY PHARR DMD (OWNER)
(512) 960-4225
Entity
Organization
Contact information
Practice address
5301 DAVIS LANE, SUITE 101, AUSTIN, TX 78749
(512) 960-4225
(512) 960-4800
Mailing address
5301 DAVIS LANE, SUITE 101, AUSTIN, TX 78749
(512) 960-4225
(512) 960-4800
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
28864
TX
Other
Enumeration date
08/12/2015
Last updated
11/13/2015
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