Organization
FOUNDATION ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA RIZK BDS, MSD (OWNER)
(713) 805-7080
Entity
Organization
Contact information
Practice address
7830 W GRAND PKWY S STE 295, RICHMOND, TX 77406-5816
(281) 961-0961
Mailing address
3255 LAS PALMAS ST APT 545, HOUSTON, TX 77027-5779
(713) 805-7080
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
32411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821497470
NPI
TX
Enumeration date
06/06/2018
Last updated
06/06/2018
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