Organization
WEERA FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURACHON WEERACHARTKUL DDS (OWNER/PRESIDENT)
(713) 392-1993
Entity
Organization
Contact information
Practice address
6001 HILLCROFT ST STE 600, HOUSTON, TX 77081-1016
(713) 392-1993
Mailing address
6001 HILLCROFT AVE STE 600, HOUSTON, TX 77081
(713) 392-1993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24536
TX
261QD0000X
Dental Clinic/Center
24263
TX
261QD0000X
Dental Clinic/Center
Primary
24536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447489463
—
TX
05
—
1881843241
—
TX
Enumeration date
07/03/2017
Last updated
07/21/2022
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