Healthcare Provider Details

I. General information

NPI: 1841656543
Provider Name (Legal Business Name): DICOMITY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 01/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17113 TORTOISE ST
ROUND ROCK TX
78664-8517
US

IV. Provider business mailing address

17113 TORTOISE ST
ROUND ROCK TX
78664-8517
US

V. Phone/Fax

Practice location:
  • Phone: 512-762-5426
  • Fax: 281-310-8297
Mailing address:
  • Phone: 512-762-5426
  • Fax: 281-310-8297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. LEON EDWARD HRNCIR III
Title or Position: CEO
Credential:
Phone: 512-762-5426