Provider Demographics
NPI:1508932716
Name:CALTEX DENTAL
Entity Type:Organization
Organization Name:CALTEX DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-556-8400
Mailing Address - Street 1:2466 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5251
Mailing Address - Country:US
Mailing Address - Phone:281-556-8400
Mailing Address - Fax:281-556-8430
Practice Address - Street 1:2466 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5251
Practice Address - Country:US
Practice Address - Phone:281-556-8400
Practice Address - Fax:281-556-8430
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALTEX DENTAL PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty