Tx Southern Dental PC

NPI #1184514218 in Baytown, Texas

Provider Information

NPI Number: 1184514218
Entity Type: Organization
Organization Name: Tx Southern Dental PC
Subpart: Yes (part of a larger organization)
Parent Organization: TX SOUTHERN DENTAL PC
Primary Specialty: Dentist
Enumeration Date: Jul 9, 2025
Last Updated: Jul 9, 2025

Practice Location

Address: 8202 FM 3180 RD
City: Baytown
State: Texas
ZIP Code: 77523-1424
Phone: (281) 231-9630

Authorized Official

Name: ERIKA MELISSA MENJIVAR
Title: SR. CREDENTIALING SPECIALIST
Phone: (469) 596-6137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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