Provider Demographics
NPI:1265142269
Name:TLN FAMILY & COSMETIC DENTISTRY AT MEYER PARK PLLC
Entity type:Organization
Organization Name:TLN FAMILY & COSMETIC DENTISTRY AT MEYER PARK PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHASITY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-723-2600
Mailing Address - Street 1:14522 S POST OAK RD STE 110A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-6001
Mailing Address - Country:US
Mailing Address - Phone:713-723-2600
Mailing Address - Fax:832-377-4791
Practice Address - Street 1:10259 S POST OAK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4306
Practice Address - Country:US
Practice Address - Phone:713-723-2600
Practice Address - Fax:832-377-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty