Provider Demographics
NPI:1841598349
Name:HOUSTON PRECISE DENTAL CARE II, PLLC
Entity Type:Organization
Organization Name:HOUSTON PRECISE DENTAL CARE II, PLLC
Other - Org Name:HOUSTON PRECISE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ECKFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-433-6431
Mailing Address - Street 1:10019 S MAIN ST
Mailing Address - Street 2:A6
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5256
Mailing Address - Country:US
Mailing Address - Phone:713-433-6431
Mailing Address - Fax:713-665-6432
Practice Address - Street 1:10019 S MAIN ST
Practice Address - Street 2:A6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025
Practice Address - Country:US
Practice Address - Phone:713-433-6431
Practice Address - Fax:713-665-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25289261QD0000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX211820007Medicaid