Central Tx Oral & Maxillofacial Surgery
LBN: Central Tx Oral & Maxillofacial Surgery
Central Tx Oral & Maxillofacial Surgery is an health care organization with primary practice located at 2030 Heights Dr Ste 3 , Harker Heights TX 76548-2185. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Central Tx Oral & Maxillofacial Surgery can be contacted via phone (254) 699-9500, or through Ford, Lavelle via phone (254) 699-9500.
Contact Information
Primary practice address
2030 Heights Dr Ste 3
Harker Heights TX 76548-2185
Phone: (254) 699-9500
Fax: (254) 699-2796
Website:
Authorized official contact:
Name: Ford, Lavelle Doctor of Dental Surgery (DDS)
Phone: (254) 699-9500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 17564 | Texas |
Profile Details
| NPI number | 1730369299 |
|---|---|
| LBN Legal business name | Central Tx Oral & Maxillofacial Surgery |
| DBA Doing business as | |
| Authorized official | Ford, Lavelle Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2007 |
| Last updated | Jun 22nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730369299 | NPPES |
| Texas | MEDICAID | 110929003 | |
| Texas | MEDICAID | 110929001 |
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