Provider Demographics
NPI:1417146507
Name:FAMILYKARE DENTAL
Entity Type:Organization
Organization Name:FAMILYKARE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM-HUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-392-3022
Mailing Address - Street 1:24210 WESTHEIMER PKWY
Mailing Address - Street 2:STE 800
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7323
Mailing Address - Country:US
Mailing Address - Phone:281-392-3022
Mailing Address - Fax:281-392-3013
Practice Address - Street 1:24210 WESTHEIMER PKWY
Practice Address - Street 2:STE 800
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7323
Practice Address - Country:US
Practice Address - Phone:281-392-3022
Practice Address - Fax:281-392-3013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty