Individual
MICHAEL V O'SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7700 SAN FELIPE ST, SUITE 220, HOUSTON, TX 77063-1611
(713) 784-4200
(713) 784-4201
Mailing address
7700 SAN FELIPE ST, SUITE 220, HOUSTON, TX 77063-1611
(713) 784-4200
(713) 784-4201
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405052
UNITED CONCORDIA
—
01
—
86D385
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/30/2006
Last updated
07/08/2007
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