Provider Demographics
NPI:1013926260
Name:HONEYCUTT, THERESA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:A
Last Name:HONEYCUTT
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 1:4932 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1605
Mailing Address - Country:US
Mailing Address - Phone:713-661-4500
Mailing Address - Fax:713-661-4547
Practice Address - Street 1:4932 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1605
Practice Address - Country:US
Practice Address - Phone:713-661-4500
Practice Address - Fax:713-661-4547
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX180291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice