Tx Southern Dental PC

NPI #1306616818 in League City, Texas

Provider Information

NPI Number
1306616818
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
Jan 5, 2024
Last Updated
Jan 5, 2024

Practice Location

Address
6011 W MAIN ST STE A101
State
Texas
ZIP Code
77573-7541
Phone
(281) 338-6559

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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