MYSA DENTAL PLLC (NPI# 1710587431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710587431 |
Entity Type | Organization |
Organization Name | MYSA DENTAL PLLC |
Practice Address |
13762 Potranco Rd Suite 400 San Antonio TX 78253 |
Mailing Address |
10615 Ysamy Way San Antonio TX 78213-1659 |
Practice Telephone | 6178344646 |
Mailing Telephone | 6178344646 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Authorized Official Name | DR. KHUSHBU MALHOTRA (DENTIST) |
Authorized Official Telephone | 6178344646 |
Authorized Official Credential | DMD |
Is Organization Subpart | Y |
Parent Organization Name | MYSA DENTAL PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mysa Dental | Doing Business As Name - Organization |
Street Address |
13762 POTRANCO RD SUITE 400 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
1104468263 | Diane-claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
1194374215 | Deren Robert Green | Counselor | 1401 Dezarae Lot #3, San Antonio, TX 78253 | 2019-09-11 |
1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
1053879742 | Donnelle D Storrs | Nurse Practitioner | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
1003399098 | Omni Vision IIi | Optometrist | 120 Empresario Drive, Ste 111, San Antonio, TX 78253 | 2018-09-14 |
Find all providers in zip 78253 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932706173 | Crossway Dental Care Pllc | Clinic/Center | 16616 San Pedro Ave, San Antonio, TX 78232-2223 | 2020-10-01 |
1902410699 | Bigway Family Dental Pllc | Clinic/Center | 11930 U.s . Hwy. 90, West, Suite 106, San Antonio, TX 78252 | 2020-09-01 |
1528676053 | Calm Spring Dental | Clinic/Center | 11034 W Military Drive, Suite 104, San Antonio, TX 78251 | 2020-07-21 |
1811516164 | Solorzano and Soto Dds P.l.l.c. | Clinic/Center | 14603 Huebner Rd Bldg 14, San Antonio, TX 78230-5483 | 2020-04-15 |
1821629080 | C3tsd Enterprises Pllc | Clinic/Center | 523 Med Ct # 106, San Antonio, TX 78258-3359 | 2020-01-27 |
1649814294 | Dental Oral Care, Pllc | Clinic/Center | 23535 W Interstate 10 Ste 2202, San Antonio, TX 78257-1673 | 2019-11-06 |
1093368342 | Dental Hut Pllc | Clinic/Center | 5514 Lone Star Pkwy Ste 111, San Antonio, TX 78253-6770 | 2019-07-16 |
1639633480 | Empire Dental | Clinic/Center | 1915 Rogers Road, San Antonio, TX 78251-7825 | 2019-01-25 |
1679068290 | Bcgg Pllc | Clinic/Center | 19787 W Ih 10 Ste 204, San Antonio, TX 78257-1695 | 2018-06-26 |
1710487780 | Webster Street Dental Pllc | Clinic/Center | 311 E Jones Ave, San Antonio, TX 78215 | 2018-02-16 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78253 |
Please comment or provide details below to improve the information on MYSA DENTAL PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.