Provider Demographics
NPI:1447479654
Name:SHG CINCO RANCH, LP
Entity type:Organization
Organization Name:SHG CINCO RANCH, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-579-8700
Mailing Address - Street 1:20660 WESTHEIMER PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5935
Mailing Address - Country:US
Mailing Address - Phone:281-579-8700
Mailing Address - Fax:281-579-8730
Practice Address - Street 1:20660 WESTHEIMER PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5935
Practice Address - Country:US
Practice Address - Phone:281-579-8700
Practice Address - Fax:281-579-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty