Organization
TEXAS ORTHODONTIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA L LEWIS D.D.S. (PRESIDENT)
(281) 890-7475
Entity
Organization
Contact information
Practice address
11455 FALLBROOK DR., SUITE 201, HOUSTON, TX 77065
(281) 890-7475
(281) 890-4862
Mailing address
11455 FALLBROOK DR., SUITE 201, HOUSTON, TX 77065
(281) 890-7475
(281) 890-4862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13196
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
25655
TX
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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