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Organization
DOMINION MEDICAL HEALTHCARE SERVICE
Active
Organization
DOMINION MEDICAL HEALTHCARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENONA WATSON (DIRECTOR OF OPERATIONS)
(281) 974-4400
Entity
Organization
Contact information
Practice address
8300 BISSONNET ST, SUITE 130, HOUSTON, TX 77074-3900
(281) 974-4400
(281) 974-4386
Mailing address
8300 BISSONNET ST, SUITE 130, HOUSTON, TX 77074-3900
(281) 974-4400
(281) 974-4386
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
247100000X
Radiologic Technologist
—
NULL
247100000X
Radiologic Technologist
—
—
363A00000X
Physician Assistant
PA 03172
TX
Other
Enumeration date
06/09/2009
Last updated
08/25/2009
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