Organization
GREATER HOUSTON ORAL AND FACIAL SURGERY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANTH RAVI DMD (PRESIDENT)
(713) 944-0864
Entity
Organization
Contact information
Practice address
4007 WOODLAWN AVE, PASADENA, TX 77504-1910
(713) 944-0864
(713) 944-7737
Mailing address
4007 WOODLAWN AVE, PASADENA, TX 77504-1910
(713) 944-0864
(713) 944-7737
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
29763
TX
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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