Healthcare Provider Details

I. General information

NPI: 1093702086
Provider Name (Legal Business Name): EMANUEL PAUL DESCANT II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 GRAHAM DRIVE SUITE D
TOMBALL TX
77375
US

IV. Provider business mailing address

909 GRAHAM DRIVE SUITE D
TOMBALL TX
77375
US

V. Phone/Fax

Practice location:
  • Phone: 281-351-7127
  • Fax: 281-255-9140
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE3683
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: