MEDICARE: DOMONIQUE JAMES

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1336006527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMONIQUE JAMES

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR STE 272
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5285
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR STE 272
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5285
Country	:	US
Telephone Number	:	281-544-0607
Fax Number	:

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ DOMONIQUE JAMES ” Practice Location

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