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Contact Information

DOMINION MEDICAL HEALTHCARE SERVICE
8300 BISSONNET ST
SUITE 130
HOUSTON, TX77074-3900
 Phone: 281-974-4400
 Fax: 281-974-4386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nutritionist

133N00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for DOMINION MEDICAL HEALTHCARE SERVICE

NPI # 1255567848
LBN Legal business name DOMINION MEDICAL HEALTHCARE SERVICE
Authorized official IRENONA WATSON - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2009
Last updated 08/25/2009 - About 17 years ago
Identifiers
TX License # PA 03172
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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