Organization
CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC
Active
Other names
Orthodontic Specialists of San Marcos, Orthodontic Specialists of Seguin
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL RICHARDSON (DIRECTOR OF RCM)
(214) 934-7995
Entity
Organization
Contact information
Practice address
205 S STATE HIGHWAY 46, SEGUIN, TX 78155-7504
(830) 372-9811
Mailing address
820 W 42ND ST STE 2300, SCOTTSBLUFF, NE 69361-5016
(308) 260-0241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
01/08/2026
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