Tx Southern Dental Ppo PC
NPI #1275390494 in West Lake Hills, Texas
Provider Information
- NPI Number
- 1275390494
- 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
- Enumeration Date
- Mar 4, 2024
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 5656 BEE CAVES RD BLDG J
- City
- West Lake Hills
- State
- Texas
- ZIP Code
- 78746-5280
- Phone
- (512) 327-5977
Authorized Official
- Name
- CHRISTINE NELSON
- Title
- VP, REVENUE CYCLE
- Phone
- (469) 450-6482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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