Dwayne Dunlap PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00368 Issued in TX

Legal business name

DWAYNE DUNLAP PLLC

Practice address

6026 Yorktown Meadow LN
Houston, TX 77084-6818

Phone

(248) 346-2748

NPI assigned

Sep 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dwayne Dunlap, LSANPI 1801108329

Title

Surgical Assistant

Phone

(248) 346-2748

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwayne Dunlap, LSA

  • Surgical Assistant
  • Houston, TX
  • NPI 1801108329
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1245632108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 YORKTOWN MEADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846818",
            "telephone_number": "248-346-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 YORKTOWN MEADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770846818",
            "telephone_number": "248-346-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE DUNLAP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "248-346-2748",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.