| Daniel Dsouza MD PA | |
|
1500 S Dairy Ashford St Suite 197a Houston TX 77077-3858 | |
| (281) 870-8282 | |
| (281) 870-8299 |
| Full Name | Daniel Dsouza MD PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 S Dairy Ashford St, Houston, Texas |
| Authorized Official Name and Position | Daniel Keith Dsouza (OWNER) |
| Authorized Official Contact | 2818708282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Dsouza MD PA 1500 S Dairy Ashford St Suite 197a Houston TX 77077-3858 Ph: (281) 870-8282 | Daniel Dsouza MD PA 1500 S Dairy Ashford St Suite 197a Houston TX 77077-3858 Ph: (281) 870-8282 |
| NPI Number | 1003990086 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 07/22/2008 |
| Medicare PECOS PAC ID | 3173523347 |
|---|---|
| Medicare Enrollment ID | O20070111000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003990086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H6146 (Texas) | Primary |
| Provider Name | Daniel Keith Dsouza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376542654 PECOS PAC ID: 6800896077 Enrollment ID: I20070111000572 |
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