Provider Demographics
NPI:1144939414
Name:HULEN CROSSING FAMILY DENTAL PLLC
Entity type:Organization
Organization Name:HULEN CROSSING FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:XIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:646-797-1559
Mailing Address - Street 1:2821 LAKEMONT DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-8020
Mailing Address - Country:US
Mailing Address - Phone:646-797-1559
Mailing Address - Fax:
Practice Address - Street 1:8615 S HULEN ST STE 113
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-2762
Practice Address - Country:US
Practice Address - Phone:646-797-1559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty