Clarisse Djukom, M.D.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

BP20035793 Issued in TX

Practice address

3102 69TH St
Galveston, TX 77551-2191

Phone

(409) 599-2602

NPI assigned

Dec 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1730418898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 69TH ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512191",
            "telephone_number": "409-599-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 69TH ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512191",
            "telephone_number": "409-599-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJUKOM",
        "first_name": "CLARISSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "BP20035793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Dindoruk, DO
• Pier Luigi Dipatre, MD
• Laura Dipette, LPC, LMFT
• Mariel Diplan Rodriguez, MD
• Sammy Atienza Dizon, MD
• DLC Care LLC
• Candice Thuy DO
• Christine Pham DO
• Kevin Doan
• Quynh Doan, COTA/L

• Surgical Critical Care Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Surgical Critical Care Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.