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DOMINION MEDICAL HEALTHCARE SERVICE NPI 1255567848


NPI Information

NPI: 1255567848
Provider Name: DOMINION MEDICAL HEALTHCARE SERVICE
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8300 BISSONNET ST
SUITE 130
HOUSTON, TX
ZIP 77074
Phone: (281) 974-4400
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DOMINION MEDICAL HEALTHCARE SERVICE is a general practice in Houston, TX. DOMINION MEDICAL HEALTHCARE SERVICE NPI is 1255567848. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8300 BISSONNET ST
SUITE 130
HOUSTON, TX
ZIP 77074-900
Phone: (281) 974-4400
Fax: (281) 974-4386

The provider's authorized official is Irenona Watson .
The authorized official title is Director Of Operations and has the following contact phone number (281) 974-4400.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 8/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2225100000XPhysical TherapistNo
3225200000XPhysical Therapy AssistantNo
4247100000XRadiologic TechnologistNo
5363A00000XPhysician AssistantPA 03172TEXASNo
6208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10A4561MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.