Provider Demographics
NPI:1245348648
Name:RAY C. POMYKAL DDS,INC.
Entity type:Organization
Organization Name:RAY C. POMYKAL DDS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:POMYKAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-481-5035
Mailing Address - Street 1:13310 BEAMER RD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6045
Mailing Address - Country:US
Mailing Address - Phone:281-481-5035
Mailing Address - Fax:
Practice Address - Street 1:13310 BEAMER RD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6093
Practice Address - Country:US
Practice Address - Phone:281-481-5025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10441261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center