Michael T Dome in Wharton - Physician Assistant
Michael T Dome - NPI 1972590214
Michael T Dome is a Physician Assistant in Wharton, Texas. Michael T Dome practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael T Dome is 1972590214. The last update date is 2007-07-08.
Michael T Dome's current location address is 3624 County Road 154, Wharton, Texas. You can contact this provider via phone number 9795321539 and fax number 9795325227. The mailing address for Michael T Dome is 3624 County Road 154, Wharton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael T Dome |
|---|---|
| Address | 3624 County Road 154, Wharton, Texas |
| Phone Number | 9795321539 |
| Fax Number | 9795325227 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972590214 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3624 County Road 154 |
|---|---|
| City | Wharton |
| State | Texas (TX) |
| Post Code | 774885269 |
| Phone Number | 9795321539 |
| Fax Number | 9795325227 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00079 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Michael T Dome by the Centers for Medicare & Medicaid Services?
The Michael T Dome has been assigned the NPI (National Provider Identifier) 1972590214. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael T Dome is geographically located?
The Michael T Dome is physically situated at the following location: 3624 County Road 154, Wharton, TX, 774885269.
What is Michael T Dome's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael T Dome's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Michael T Dome's 1972590214 issued?
The Michael T Dome's 1972590214 was issued on 2005-10-03.
As of what date were the Michael T Dome's details last updated?
The information pertaining to the Michael T Dome, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061710
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