Mysa Dental Pllc
Clinic/Center (Dental)

Address: 13762 Potranco Rd, Suite 400, San Antonio, TX 78253
Phone: 6178344646

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).

Provider Overview

Nation Provider Identifier (NPI) 1710587431
Entity Type Organization
Organization Name MYSA DENTAL PLLC
Practice Address 13762 Potranco Rd
Suite 400
San Antonio
TX 78253
Practice Telephone 6178344646
Mailing Address 10615 Ysamy Way
San Antonio
TX 78213-1659
Mailing Telephone 6178344646
Authorized Official Name Dr. Khushbu Malhotra (DENTIST)
Authorized Official Telephone 6178344646
Authorized Official Credential DMD
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name MYSA DENTAL PLLC
Enumeration Date 2020-10-30
Last Update Date 2020-10-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Mysa Dental Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Office Location

Street Address 13762 POTRANCO RD
State TX
Zip Code 78253

Providers in the same zip code

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
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Zip Code 78253

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Dataset Information

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.