Provider Demographics
NPI:1366336471
Name:PINEY POINT ORAL AND MAXILLOFACIAL SURGERY OF CYPRESS PLLC
Entity type:Organization
Organization Name:PINEY POINT ORAL AND MAXILLOFACIAL SURGERY OF CYPRESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-783-5560
Mailing Address - Street 1:2450 FONDREN RD STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2320
Mailing Address - Country:US
Mailing Address - Phone:713-783-5560
Mailing Address - Fax:713-783-3116
Practice Address - Street 1:14930 MUESCHKE RD STE 150
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-0952
Practice Address - Country:US
Practice Address - Phone:713-783-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty