ELGENE G MAINOUS DDS
Surgery Yellow Pages
Galveston, Texas
Provider NPI: 1720187727
Provider Information:ELGENE G MAINOUS DDS
Practice Location:
301 UNIVERSITY BLVD GALVESTON, TX 77555 US
Tel: 440-977-2222 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 1223G0001X | Dental Providers Dentist General Practice | TX | 10973 |
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | TX | 10973 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
126745202 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin