Professional Associate
LBN: Stevenson Dental Clinic For Children
Professional Associate is an health care organization with primary practice located at 11165 La Quinta Place , El Paso TX 79936. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Stevenson Dental Clinic For Children can be contacted via phone (915) 591-1999, or through Stevenson, Eugene Davis via phone (915) 591-1999.
Contact Information
Primary practice address
11165 La Quinta Place
El Paso TX 79936
Phone: (915) 591-1999
Fax: (915) 591-3201
Website:
Authorized official contact:
Name: Stevenson, Eugene Davis Doctor of Dental Surgery (DDS)
Phone: (915) 591-1999
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 13513 | Texas |
Profile Details
| NPI number | 1417027251 |
|---|---|
| LBN Legal business name | Stevenson Dental Clinic For Children |
| DBA Doing business as | Professional Associate |
| Authorized official | Stevenson, Eugene Davis Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Oct 1st, 2009 - about 16 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 | 1417027251 | NPPES |
| Other | D13513 | BCBS | |
| Other | 828328 | BCBS | |
| Other | G601421 | BCBS | |
| MEDICAID | 111009002 | BCBS |
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