Tx Southern Dental PC

NPI #1235718974 in Austin, Texas

Provider Information

NPI Number: 1235718974
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: Apr 7, 2021
Last Updated: Jan 5, 2024

Practice Location

Address: 12335 HYMEADOW DR STE 100
City: Austin
State: Texas
ZIP Code: 78750-1935
Phone: (512) 258-9130

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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