Provider Demographics
NPI:1578737912
Name:B. HAL MCNABB, D.D.S., P.C.
Entity Type:Organization
Organization Name:B. HAL MCNABB, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:HAL
Authorized Official - Last Name:MCNABB
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-975-9933
Mailing Address - Street 1:550 WESTCOTT ST
Mailing Address - Street 2:SUITE 448
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-9015
Mailing Address - Country:US
Mailing Address - Phone:713-975-9933
Mailing Address - Fax:713-802-1044
Practice Address - Street 1:550 WESTCOTT ST
Practice Address - Street 2:SUITE 448
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-9015
Practice Address - Country:US
Practice Address - Phone:713-975-9933
Practice Address - Fax:713-802-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15351261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental