Provider Demographics
NPI:1689920340
Name:UNION HISPANA CORPORATION
Entity Type:Organization
Organization Name:UNION HISPANA CORPORATION
Other - Org Name:DBA UNION DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-683-4034
Mailing Address - Street 1:4654 HIGHWAY 6 N
Mailing Address - Street 2:SUITE 401
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2868
Mailing Address - Country:US
Mailing Address - Phone:832-683-4034
Mailing Address - Fax:832-683-4782
Practice Address - Street 1:4654 HIGHWAY 6 N
Practice Address - Street 2:SUITE 401
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-2868
Practice Address - Country:US
Practice Address - Phone:832-683-4034
Practice Address - Fax:832-683-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty