Provider Demographics
NPI:1043987209
Name:SOMERSET HOLDINGS LLC
Entity Type:Organization
Organization Name:SOMERSET HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-569-9755
Mailing Address - Street 1:7411 STONE ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6381
Mailing Address - Country:US
Mailing Address - Phone:713-569-9755
Mailing Address - Fax:
Practice Address - Street 1:4030 FM 1463 RD STE 103
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5499
Practice Address - Country:US
Practice Address - Phone:832-789-1997
Practice Address - Fax:832-789-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX32068436834OtherDENTAL OFFICE