MEDICARE: D M HEALTH SERVICES LLC

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	225100000X	Physical Therapist	1136190	TX

General Provider Information

NPI Number	:	1033285903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D M HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	8555 KNIGHT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3818
Country	:	US
Telephone Number	:	713-839-9473
Fax Number	:	713-839-9471

Provider Business Practice Location Address
First Line	:	8555 KNIGHT RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-3818
Country	:	US
Telephone Number	:	713-839-9473
Fax Number	:	713-839-9471

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DEBRA W MCDONALD
Credential	:	RN
Telephone Number	:	713-839-9473

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	12/03/2008

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Directions to “D M HEALTH SERVICES LLC ” Practice Location

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