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NPI Code Detail

MEDICARE: DEMENTIA CARE TX PLLC

MEDICARE: DEMENTIA CARE TX PLLC
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
1207Q00000XFamily Medicine Physician
2208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1366203028
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEMENTIA CARE TX PLLC
Provider Business Mailing Address
First Line : 1032 E BRANDON BLVD # 7437
Second Line :
City : BRANDON
State : FL
Zip : 33511-5509
Country : US
Telephone Number : 407-690-6254
Fax Number :
Provider Business Practice Location Address
First Line : 23 WOOD MANOR PL
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-2803
Country : US
Telephone Number : 407-690-6254
Fax Number :
Authorized Official
Title or Position : ADMIN
Name : JONATHAN AMOS
Credential :
Telephone Number : 646-406-9347
Provider Enumeration Date : 01/19/2024
Last Update Date : 12/02/2025

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Directions to “DEMENTIA CARE TX PLLC ” Practice Location

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