Provider Demographics
NPI:1457222739
Name:EA CENTEX, PLLC
Entity type:Organization
Organization Name:EA CENTEX, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:254-554-3636
Mailing Address - Street 1:410 E CENTRAL TEXAS EXPY
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1883
Mailing Address - Country:US
Mailing Address - Phone:254-554-3636
Mailing Address - Fax:
Practice Address - Street 1:410 E CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1883
Practice Address - Country:US
Practice Address - Phone:254-554-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty