Ram Deole
Dentist in La Porte, TX. Individual provider (NPI-1).
NPI number1558066548
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1558066548
- Entity type
- Individual (NPI-1)
- Name
- Ram Deole
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2023
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 40751 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9001 Spencer Hwy Ste JLa Porte, TX 77571-3897
Phone 281-394-0517
Mailing address
3302 Gaston AveDallas, TX 75246-2013
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