Provider Demographics
NPI:1730741869
Name:PRZILAS, TATUM (DDS)
Entity type:Individual
Prefix:DR
First Name:TATUM
Middle Name:
Last Name:PRZILAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 E 26TH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2847
Mailing Address - Country:US
Mailing Address - Phone:903-253-5178
Mailing Address - Fax:
Practice Address - Street 1:11231 GREENHOUSE RD STE 135
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-8670
Practice Address - Country:US
Practice Address - Phone:832-280-9124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35324122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist