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1972590214
MICHAEL T DOME
HOUSTON, TX
NPI
1972590214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00079)
Enumeration Date
2005-10-03
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL T DOME PA-C
6411 FANNIN ST STE 1020
HOUSTON, TX 77030-1501
Phone number: 832-325-7090
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Mailing Address
Mr. MICHAEL T DOME PA-C
3624 COUNTY ROAD 154
WHARTON, TX 77488-5269
Phone number: 979-532-1539
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