| Dohaeris Llc | |
|
1120 Avenue G Bay City TX 77414-3545 | |
| (979) 245-5721 | |
| Not Available |
| Full Name | Dohaeris Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 Avenue G, Bay City, Texas |
| Authorized Official Name and Position | Travis Tomek (PHYSICIAN) |
| Authorized Official Contact | 9792455721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dohaeris Llc 1120 Avenue G Bay City TX 77414-3545 Ph: (979) 245-5721 | Dohaeris Llc 1120 Avenue G Bay City TX 77414-3545 Ph: (979) 245-5721 |
| NPI Number | 1447861265 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 4587081146 |
|---|---|
| Medicare Enrollment ID | O20200827000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447861265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Travis G Tomek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578097929 PECOS PAC ID: 4981972460 Enrollment ID: I20200827001011 |
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