Provider Demographics
NPI:1265685812
Name:PALUK-ECHEVERRIA DENTAL PC
Entity Type:Organization
Organization Name:PALUK-ECHEVERRIA DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:FABIAN
Authorized Official - Last Name:PALUK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:713-398-2882
Mailing Address - Street 1:1901 POST OAK BLVD
Mailing Address - Street 2:#506
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3868
Mailing Address - Country:US
Mailing Address - Phone:713-398-2882
Mailing Address - Fax:713-877-1307
Practice Address - Street 1:4400 POST OAK PKWY
Practice Address - Street 2:#1190
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3421
Practice Address - Country:US
Practice Address - Phone:713-398-2663
Practice Address - Fax:713-877-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21665122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty