Healthcare Provider Details

I. General information

NPI: 1184045122
Provider Name (Legal Business Name): DBMD SPRING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2013
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20635 KUYKENDAHL
SPRING TX
77379
US

IV. Provider business mailing address

5120 WOODWAY DR SUITE 7012
HOUSTON TX
77056-1723
US

V. Phone/Fax

Practice location:
  • Phone: 713-532-7311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DUDLEY BAKER
Title or Position: MANAGING MEMBER
Credential:
Phone: 713-532-7311