Organization
BLALOCK DENTAL CLINIC ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS TINHVAN NGUYEN D.D.S. (DENTIST)
(713) 722-0888
Entity
Organization
Contact information
Practice address
1304 BLALOCK RD STE E, HOUSTON, TX 77055-6475
(713) 722-0888
(713) 722-0892
Mailing address
1304 BLALOCK RD STE E, HOUSTON, TX 77055-6475
(713) 722-0888
(713) 722-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DENT51045
—
TX
Enumeration date
03/28/2007
Last updated
08/22/2020
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