Organization
DENTAL PROFESSIONALS OF TEXAS, P.A.
Active
Parent organization
DENTAL PROFESSIONALS OF TEXAS, P.A.
Other names
Fox Garden Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF TEXAS, P.A.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
16530 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1006
(210) 664-0462
(210) 664-0063
Mailing address
16530 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1006
(210) 664-0462
(210) 664-0063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
10/02/2023
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