Provider Demographics
NPI:1609100312
Name:APPLAUSE DENTISTS II, PA
Entity Type:Organization
Organization Name:APPLAUSE DENTISTS II, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVANEH
Authorized Official - Middle Name:
Authorized Official - Last Name:AZIMPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-275-8996
Mailing Address - Street 1:2310A NANTUCKET DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2957
Mailing Address - Country:US
Mailing Address - Phone:832-275-8996
Mailing Address - Fax:
Practice Address - Street 1:7323 HARRISBURG BLVD
Practice Address - Street 2:#C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4738
Practice Address - Country:US
Practice Address - Phone:713-921-0200
Practice Address - Fax:713-921-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19640261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178323501Medicaid