Provider Demographics
NPI:1023220118
Name:ALTINGER, EVELYN CLAUDIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:CLAUDIA
Last Name:ALTINGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 WALNUT GROVE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6647
Mailing Address - Country:US
Mailing Address - Phone:281-341-8347
Mailing Address - Fax:281-561-9946
Practice Address - Street 1:9210 HIGHWAY 6 S STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6385
Practice Address - Country:US
Practice Address - Phone:281-561-9944
Practice Address - Fax:281-561-9946
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice