Provider Demographics
NPI:1093813966
Name:COUVILLION, EDWARD STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:STEVEN
Last Name:COUVILLION
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9183 KATY FRWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1651
Mailing Address - Country:US
Mailing Address - Phone:713-932-6454
Mailing Address - Fax:713-932-6158
Practice Address - Street 1:9183 KATY FRWY
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1651
Practice Address - Country:US
Practice Address - Phone:713-932-6454
Practice Address - Fax:713-932-6158
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14480122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice