Provider Demographics
NPI:1659558575
Name:RHA DENTAL CENTER, P.A
Entity Type:Organization
Organization Name:RHA DENTAL CENTER, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-779-2273
Mailing Address - Street 1:7521 SOUTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1903
Mailing Address - Country:US
Mailing Address - Phone:713-779-2273
Mailing Address - Fax:
Practice Address - Street 1:7521 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1903
Practice Address - Country:US
Practice Address - Phone:713-779-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX186501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty