Active NPI
Dominion Medical Healthcare Service
- General Practice Physician
- Houston, TX
National Provider Identifier
1255567848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DOMINION MEDICAL HEALTHCARE SERVICE
- Practice address
- 8300 Bissonnet St
Suite 130
Houston, TX 77074-3900 - Phone
- (281) 974-4400
- Fax
- (281) 974-4386
- NPI assigned
- Jun 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irenona Watson
- Title
- Director of Operations
- Phone
- (281) 974-4400
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Physical Therapy Assistant | 225200000X | |||
| Radiologic Technologist | 247100000X | |||
| Physician Assistant | 363A00000X | PA 03172 | TX |
Addresses
Primary practice location
8300 Bissonnet St
Suite 130
Houston, TX 77074-3900
Mailing address
8300 Bissonnet St
Suite 130
Houston, TX 77074-3900
Phone (281) 974-4400
National Provider Directory
National Provider DirectoryLocations
8300 Bissonnet St
Ste 130
Houston, TX 77074
Phone (281) 974-4400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lufkin, TX
- NPI 1992717201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251158400000",
"number": "1255567848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 BISSONNET ST",
"address_2": "SUITE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770743900",
"telephone_number": "281-974-4400",
"fax_number": "281-974-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 BISSONNET ST",
"address_2": "SUITE 130",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770743900",
"telephone_number": "281-974-4400",
"fax_number": "281-974-4386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINION MEDICAL HEALTHCARE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-09",
"last_updated": "2009-08-25",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "IRENONA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "281-974-4400"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA 03172",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.