Dat Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DAT MEDICAL CLINIC

Practice address

12808 W Airport Blvd
348
Sugar Land, TX 77478-6184

Phone

(832) 279-5526

Fax

(832) 447-1093

NPI assigned

May 18, 2015

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

EPHRAIM INCAs reported in NPPES

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

Authorized official

Name

Mr. Taiwo Daramola

Title

Administrator

Phone

(832) 279-5526

Specialties & licenses 1

Addresses

Part of

Dat Medical Clinic

Locations

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1972981355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD",
            "address_2": "348",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786184",
            "telephone_number": "832-279-5526",
            "fax_number": "832-447-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD",
            "address_2": "348",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786184",
            "telephone_number": "832-279-5526",
            "fax_number": "832-447-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAT MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPHRAIM INC",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "DARAMOLA",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-279-5526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge German Darcourt, M.D.
• Lanette Darden
• Bidhan Das, M.D.
• Sumandra Dasgupta, LPC
• Yasaman Dasteh Goli, DO
• Amita Datta
• Taylor Nichole Daugherty, OT
• Deepa C Dave, MD
• Kapil J Dave, M.D.
• Charlotte Ann Davenport, LPC-S

• Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.