OrganizationActive
Elevated Oral Surgery
NPI 1114700747 · Oral and Maxillofacial Surgery Clinic/Center · Houston, TX
Provider details
- NPI number
- 1114700747
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Susana Porras, Manager/Owner
Mailing address
1106 Witte Rd Ste 300
Houston, TX 77055-2164
Registry dates
- Enumerated
- 2023-08-16
- Last updated
- 2023-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.