Individual
DR. PHILLIP T IERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
6800 WEST LOOP S, SUITE 350, BELLAIRE, TX 77401-4528
(713) 665-9200
(713) 665-9206
Mailing address
6800 WEST LOOP S, SUITE 350, BELLAIRE, TX 77401-4528
(713) 665-9200
(713) 665-9206
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
18047
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1910
ND
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8490
ND
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
K9307
TX
Other
Enumeration date
03/07/2006
Last updated
02/22/2008
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