MEDICARE: DORRINGTON MEDICAL ASSOCIATES, PA

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	207R00000X	Internal Medicine Physician	J5933	TX

General Provider Information

NPI Number	:	1093904054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORRINGTON MEDICAL ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	2219 DORRINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3209
Country	:	US
Telephone Number	:	713-669-1670
Fax Number	:	713-669-1671

Provider Business Practice Location Address
First Line	:	1302 WAUGH DR # 484
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-3908
Country	:	US
Telephone Number	:	713-443-1930
Fax Number	:	713-529-6880

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH VARON
Credential	:	MD
Telephone Number	:	713-669-1670

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	11/02/2007

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