Provider Demographics
NPI:1083967137
Name:NORTH HOUSTON BUSINESS MNGMT INC
Entity Type:Organization
Organization Name:NORTH HOUSTON BUSINESS MNGMT INC
Other - Org Name:NORTH HOUSTON DENTAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-876-3930
Mailing Address - Street 1:17553 IMPERIAL VALLEY DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-6102
Mailing Address - Country:US
Mailing Address - Phone:281-876-3930
Mailing Address - Fax:281-876-2539
Practice Address - Street 1:17553 IMPERIAL VALLEY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-6102
Practice Address - Country:US
Practice Address - Phone:281-876-3930
Practice Address - Fax:281-876-2539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty