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MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR NPI 1255855839


NPI Information

NPI: 1255855839
Provider Name: MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR

Doing Business As: BRAZOS ORAL AND MAXILLOFACIAL SURGERY

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
10605 SPRING GREEN BLVD STE 200
KATY, TX
ZIP 77494
Phone: (281) 394-2933
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MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR is an oral maxillofacial surgery in Katy, TX. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. MEMORIAL ORAL AND MAXILLOFACIAL SURGERY OF KATY/FULSHEAR NPI is 1255855839. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brazos Oral And Maxillofacial Surgery.

The provider's business location address is:

10605 SPRING GREEN BLVD STE 200
KATY, TX
ZIP 77494-595
Phone: (281) 394-2933
Fax: (281) 715-4440

The provider's authorized official is Rodolfo Garza .
The authorized official title is Doctor and has the following contact phone number (281) 394-2933.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery27084TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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