Provider Demographics
NPI:1366869935
Name:ARNAUD M. DE BUYL, D,D,S.,PA
Entity Type:Organization
Organization Name:ARNAUD M. DE BUYL, D,D,S.,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURLESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-392-9251
Mailing Address - Street 1:24022 CINCO VILLAGE CENTER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8390
Mailing Address - Country:US
Mailing Address - Phone:281-392-9251
Mailing Address - Fax:281-392-5398
Practice Address - Street 1:24022 CINCO VILLAGE CENTER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8390
Practice Address - Country:US
Practice Address - Phone:281-392-9251
Practice Address - Fax:281-392-5398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty