Tx Southern Dental PC

NPI #1659141109 in Austin, Texas

Provider Information

NPI Number: 1659141109
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: 3660 STONERIDGE RD STE B101
City: Austin
State: Texas
ZIP Code: 78746-7759
Phone: (512) 334-6811

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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