Provider Demographics
NPI:1851887848
Name:MICHAEL POSADA DMD, PLLC
Entity Type:Organization
Organization Name:MICHAEL POSADA DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:POSADA OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-271-8033
Mailing Address - Street 1:2990 RICHMOND AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2311
Mailing Address - Country:US
Mailing Address - Phone:832-271-8033
Mailing Address - Fax:713-750-9052
Practice Address - Street 1:2990 RICHMOND AVE STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3109
Practice Address - Country:US
Practice Address - Phone:857-294-2587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1770711558Medicaid