Organization
DWAYNE DUNLAP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE DUNLAP LSA (SURGICAL ASSISTANT)
(248) 346-2748
Entity
Organization
Contact information
Practice address
6026 YORKTOWN MEADOW LN, HOUSTON, TX 77084-6818
(248) 346-2748
Mailing address
6026 YORKTOWN MEADOW LN, HOUSTON, TX 77084-6818
(248) 346-2748
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00368
TX
Other
Enumeration date
09/23/2014
Last updated
11/07/2014
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