NPIMap

Dunia Altameemi, PA-C

Individual provider Active NPI Physician Assistant · Brookshire, TX

NPI 1962270512 · NPPES record last updated May 24, 2026

Key facts

NPI
1962270512
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA19001 (TX)
Practice address
30575 Kingsland Blvd Ste 150
Brookshire, TX 77423-3179
Phone
(281) 717-4674
Fax
(833) 318-0833
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PA19001TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Medical Clinic LLC Past
since Nov 24, 2022		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19001 TX Yes

Addresses

Primary practice location

30575 Kingsland Blvd Ste 150
Brookshire, TX 77423-3179

Mailing address

30575 Kingsland Blvd Ste 150
Brookshire, TX 77423-3179
Phone (281) 717-4674

Other providers in Brookshire, TX

All providers in Brookshire, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.