Provider Demographics
NPI:1922197821
Name:AUSTRIA, MARY HELAINNE VILLAFLOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY HELAINNE
Middle Name:VILLAFLOR
Last Name:AUSTRIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8526 HOLT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4003
Mailing Address - Country:US
Mailing Address - Phone:713-790-1111
Mailing Address - Fax:
Practice Address - Street 1:13247 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5812
Practice Address - Country:US
Practice Address - Phone:713-451-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0512991223G0001X
TX247701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice