Individual
DR. PEACE DOROTHY IMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1102 BATES AVE.,, BAYLOR COLLEGE OF MEDICINE, HOUSTON, TX, TX 77030
(832) 824-3800
Mailing address
1102 BATES AVE STE 245, HOUSTON, TX 77030-2619
(832) 824-3800
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
580808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265859755
—
TX
Enumeration date
03/24/2014
Last updated
05/30/2019
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