Organization
DENTAL PROFESSIONALS OF TEXAS, P.A.
Active
Parent organization
DENTAL PROFESSIONALS OF TEXAS, P.A.
Other names
Augusta Drive Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF TEXAS, P.A.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1011 AUGUSTA DR STE 201, HOUSTON, TX 77057-2061
(713) 714-3270
Mailing address
1011 AUGUSTA DR STE 201, HOUSTON, TX 77057-2061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/08/2020
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