Heroes Weslaco PLLC
Dentist in Weslaco, TX. Organization (NPI-2).
NPI number1013668094
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1013668094
- Entity type
- Organization (NPI-2)
- Legal business name
- Heroes Weslaco PLLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Heroes Dental (Doing Business As)
Practice location
915 E Expressway 83Weslaco, TX 78599-4619
Phone 956-800-1060
Mailing address
4502 S McColl RdEdinburg, TX 78539-9739
Phone 956-800-1060 · Fax 956-800-1061
Authorized official
Sergio Ivan Guzman
Owner
9566070732
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