MEDICARE: CRAIG DITOMMASO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	P6606	TX
2	208100000X	Physical Medicine & Rehabilitation Physician	P6606	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821265687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG DITOMMASO MD

Provider Business Mailing Address
First Line	:	1776 WOODSTEAD CT
Second Line	:	STE 208
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1480
Country	:	US
Telephone Number	:	281-724-3050
Fax Number	:	281-724-3100

Provider Business Practice Location Address
First Line	:	22999 US-59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339
Country	:	US
Telephone Number	:	281-348-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	11/26/2025

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