Organization
DOMAIN HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA CHIGBO GATES MD (DIRECTOR)
(832) 267-6192
Entity
Organization
Contact information
Practice address
9800 BRAEBURN GLEN BLVD, APT 28, HOUSTON, TX 77074-2313
(832) 267-6192
Mailing address
9800 BRAEBURN GLEN BLVD, APT 28, HOUSTON, TX 77074-2313
(832) 267-6192
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
TX
Other
Enumeration date
08/06/2012
Last updated
05/19/2016
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