794 Keller Parkway Keller Services Pllc

LBN: 794 Keller Parkway Keller Services Pllc
794 Keller Parkway Keller Services Pllc is an health care organization with primary practice located at 794 Keller Pkwy , Keller TX 76248-2488. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 794 Keller Parkway Keller Services Pllc can be contacted via phone (817) 431-1596, or through Grumbos, Peter C via phone (817) 431-1596.

Contact Information

Primary practice address
794 Keller Pkwy Keller TX 76248-2488
Phone: (817) 431-1596
Fax: (817) 755-1719
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter C Doctor of Dental Surgery (DDS)
Phone: (817) 431-1596

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1891268421
LBN Legal business name 794 Keller Parkway Keller Services Pllc
DBA Doing business as
Authorized official Grumbos, Peter C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2019
Last updated Jan 7th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891268421 NPPES
Texas Other 18458 DENTAL LICENSE

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