Individual provider Active NPI

Paul Thomas Docis, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1790804946
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02855 Issued in TX
Practice address
2120 Ashland St
Houston, TX 77008-2418
Phone
(979) 297-6458
Fax
(979) 297-0076
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02855 TX Primary

Addresses

Primary practice location

2120 Ashland St
Houston, TX 77008-2418

Mailing address

215 Oak Dr S
Suite C
Lake Jackson, TX 77566-5629
Phone (979) 297-6458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000621 TX Practitioner - Physician Assistant 6709106214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02855TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brazosport Dermatology Clinic PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1790804946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR S",
            "address_2": "SUITE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665629",
            "telephone_number": "979-297-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ASHLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082418",
            "telephone_number": "979-297-6458",
            "fax_number": "979-297-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCIS",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.