Patricia Domanski, | |
800 Scott And White Dr, College Station, TX 77845-6440 | |
(979) 207-4100 | |
Not Available |
Full Name | Patricia Domanski |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 800 Scott And White Dr, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164883252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT82147 (Texas) | Primary |
Provider Name | Scott & White Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
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Patricia Domanski, 800 Scott & White Dr., College Station, TX 77845 Ph: () - | Patricia Domanski, 800 Scott And White Dr, College Station, TX 77845-6440 Ph: (979) 207-4100 |
Monica Shields, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4187 | |
Taylor Cyrus, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 311 Houston St., College Station, TX 77843 Phone: 979-458-4584 | |
Katie Ann Venuti, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 796-913-5279 | |
Meghan Windham, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1264 Tamu, College Station, TX 77843 Phone: 979-458-8300 | |
Callie Lela Kirsch, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3206 Longmire Dr Ste A7, College Station, TX 77845 Phone: 830-660-4354 | |
Emily Morris, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3919 Lienz Ln, College Station, TX 77845 Phone: 817-718-4545 | |
Santiago Capetillo Gutierrez, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6336 Darlington Ave, College Station, TX 77845 Phone: 936-349-6546 |