Provider Demographics
NPI:1821184730
Name:HOUSTON PROSTHODONTIC ASSOCIATES
Entity Type:Organization
Organization Name:HOUSTON PROSTHODONTIC ASSOCIATES
Other - Org Name:NEAL B. GITTLEMAN D.M.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:GITTLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-993-0003
Mailing Address - Street 1:50 BRIAR HOLLOW LN
Mailing Address - Street 2:SUITE 150 WEST
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9300
Mailing Address - Country:US
Mailing Address - Phone:713-993-0003
Mailing Address - Fax:713-993-0223
Practice Address - Street 1:50 BRIAR HOLLOW LN
Practice Address - Street 2:SUITE 150 WEST
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-9300
Practice Address - Country:US
Practice Address - Phone:713-993-0003
Practice Address - Fax:713-993-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138761223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty