13650 Eastlake Pllc
NPI #1427829589 in Horizon City, Texas
Provider Information
- NPI Number
- 1427829589
- Entity Type
- Organization
- Organization Name
- 13650 Eastlake Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 9, 2024
- Last Updated
- Jan 9, 2024
Practice Location
- Address
- 13650 EASTLAKE BLVD
- City
- Horizon City
- State
- Texas
- ZIP Code
- 79928-7473
- Phone
- (915) 219-4713
Authorized Official
- Name
- CASIE GARCIA
- Title
- BILLING OPERATIONS MANAGER
- Phone
- (915) 219-4713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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