MICHAEL T DOME

HOUSTON, TX
NPI1972590214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00079)
Enumeration Date2005-10-03
Last Update Date2007-07-08
Business Address
Mr. MICHAEL T DOME PA-C
6411 FANNIN ST STE 1020
HOUSTON, TX 77030-1501
Phone number: 832-325-7090
Mailing Address
Mr. MICHAEL T DOME PA-C
3624 COUNTY ROAD 154
WHARTON, TX 77488-5269
Phone number: 979-532-1539