MEDICARE: MS. DONNA MARIE TOMLINSON MSW

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	1041C0700X	Clinical Social Worker	09973	TX

General Provider Information

NPI Number	:	1366461881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA MARIE TOMLINSON MSW

Provider Business Mailing Address
First Line	:	1219 STONECREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-7413
Country	:	US
Telephone Number	:	713-942-9026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1823 WAUGH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1128
Country	:	US
Telephone Number	:	713-942-9026
Fax Number	:	713-523-5043

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	04/05/2017

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