Dementia Care Tx Pllc | |
23 Wood Manor Pl The Woodlands TX 77381-2803 | |
(504) 577-1611 | |
Not Available |
Full Name | Dementia Care Tx Pllc |
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Speciality | General Practice |
Location | 23 Wood Manor Pl, The Woodlands, Texas |
Authorized Official Name and Position | Dean Dalili (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 5045771611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dementia Care Tx Pllc 23 Wood Manor Pl The Woodlands TX 77381-2803 Ph: () - | Dementia Care Tx Pllc 23 Wood Manor Pl The Woodlands TX 77381-2803 Ph: (504) 577-1611 |
NPI Number | 1366203028 |
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Provider Enumeration Date | 01/19/2024 |
Last Update Date | 01/19/2024 |
Medicare PECOS PAC ID | 4981045622 |
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Medicare Enrollment ID | O20240513003458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366203028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Dean Dalili |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689601619 PECOS PAC ID: 2567479082 Enrollment ID: I20240530002808 |
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