Tx Southern Dental Ppo PC

NPI #1154002434 in Abilene, Texas

Provider Information

NPI Number: 1154002434
Entity Type: Organization
Organization Name: Tx Southern Dental Ppo PC
Subpart: Yes (part of a larger organization)
Parent Organization: TX SOUTHERN DENTAL PPO PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 28, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 5200 BUFFALO GAP RD STE E
City: Abilene
State: Texas
ZIP Code: 79606-4158
Phone: (325) 691-1440

Authorized Official

Name: CHRISTINE NELSON
Title: VP, REVENUE CYCLE
Phone: (469) 450-6482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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