MEDICARE: MS. ALLISON DAUM M.D. ON 5/24/09

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	207P00000X	Emergency Medicine Physician	P2225	TX

General Provider Information

NPI Number	:	1235364167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON DAUM M.D. ON 5/24/09

Provider Business Mailing Address
First Line	:	5161 E SAM HOUSTON PKWY S
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3915
Country	:	US
Telephone Number	:	979-548-1572
Fax Number	:

Provider Business Practice Location Address
First Line	:	5161 E SAM HOUSTON PKWY S
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77505-3915
Country	:	US
Telephone Number	:	346-907-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2009
Last Update Date	:	12/18/2018

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