Organization
BAYOU CITY DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE QUYEN TRAN DDS (PRESIDENT)
(281) 464-9901
Entity
Organization
Contact information
Practice address
11723 S SAM HOUSTON PKWY E, HOUSTON, TX 77089-4764
(281) 464-9901
(281) 464-9663
Mailing address
11723 S SAM HOUSTON PKWY E, HOUSTON, TX 77089-4764
(281) 464-9901
(281) 464-9663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174937601
—
TX
Enumeration date
07/28/2006
Last updated
09/19/2008
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