Individual
ANN MADELINE DOMASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9055 KATY FWY, STE 200, HOUSTON, TX 77024-1629
(713) 461-2915
(713) 461-5307
Mailing address
PO BOX 392929 STE 200, PITTSBURGH, PA 15251-0001
(713) 461-2915
(713) 461-5307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H4289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8433K2
MEDICARE ID #
TX
Enumeration date
06/15/2005
Last updated
03/20/2023
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