Teja, Mehboob
Teja, Mehboob is an sole proprietor health care provider with primary practice located at 4331 College Hills Blvd , San Angelo TX 76904-6919. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Teja, Mehboob can be contacted via phone (325) 223-2373.Contact Information
Primary practice address
4331 College Hills Blvd
San Angelo TX 76904-6919
Phone: (325) 223-2373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 16797 | Texas |
Profile Details
| NPI number | 1235342965 |
|---|---|
| LBN Legal business name | Teja, Mehboob |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Nov 26th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235342965 | NPPES |
| Texas | MEDICAID | 111037103 |
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