Mainous, Elgene G

Mainous, Elgene G is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Mainous, Elgene G can be contacted via phone (440) 977-2222.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-5302
Phone: (440) 977-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 10973 Texas
Dental Providers / General Practice 1223G0001X 10973 Texas

Profile Details

NPI number 1720187727
LBN Legal business name Mainous, Elgene G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 7th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720187727 NPPES
Texas MEDICAID 126745202

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