Dickinson Ambulatory Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008379 Issued in TX

Legal business name

DICKINSON AMBULATORY CENTER LLC

Practice address

3750 Medical Park Drive
Suite 300
Dickinson, TX 77539

Phone

(713) 357-4400

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Chad Clause, DPM

Title

Podiatry

Phone

(281) 338-1166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1720241920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 TEXAS AVE",
            "address_2": "SUITE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984959",
            "telephone_number": "281-338-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 MEDICAL PARK DRIVE",
            "address_2": "SUITE 300",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "77539",
            "telephone_number": "713-357-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON AMBULATORY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CLAUSE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PODIATRY",
        "authorized_official_telephone_number": "281-338-1166",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Dawson-Black, PHD
• Ruth W Day, FNP
• Delta Chiropractic and Wellness
• Margaret Danielle Derouen
• David Detmer, MD
• Dickinson Family Medicine Clinic
• Dickinson Independent School District
• Dickinson Isd
• Dickinson Medical Clinic Associates
• Dickinson Pharmacy LLC

• Ambulatory Surgical Clinic/Center in Dickinson, TX
• Providers in Dickinson, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.