Organization
DAFONTE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDEE NICOLA DAFONTE (PRESIDENT)
(281) 498-3566
Entity
Organization
Contact information
Practice address
1101 HIGHWAY 6 S, HOUSTON, TX 77077-1021
(281) 498-3566
(281) 498-5388
Mailing address
1101 HIGHWAY 6 S, HOUSTON, TX 77077-1021
(281) 498-3566
(281) 498-5388
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
000125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011105601
—
TX
05
—
017127401
—
TX
Enumeration date
08/31/2005
Last updated
06/01/2011
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