Provider Demographics
NPI:1205976313
Name:NORTH HOUSTON WOODLANDS ORAL SURGICAL ARTS
Entity type:Organization
Organization Name:NORTH HOUSTON WOODLANDS ORAL SURGICAL ARTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:MULHERIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-444-1984
Mailing Address - Street 1:411 LANTERN BEND DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2833
Mailing Address - Country:US
Mailing Address - Phone:281-444-1984
Mailing Address - Fax:281-586-0173
Practice Address - Street 1:411 LANTERN BEND DR
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2833
Practice Address - Country:US
Practice Address - Phone:281-444-1984
Practice Address - Fax:281-586-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101491223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty