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NPI Code Detail

MEDICARE: PAUL THOMAS DOCIS PA-C

MEDICARE: PAUL THOMAS DOCIS PA-C
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
1363A00000XPhysician AssistantPA02855TX

General Provider Information

NPI Number : 1790804946
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL THOMAS DOCIS PA-C
Provider Business Mailing Address
First Line : 215 OAK DR S
Second Line : SUITE C
City : LAKE JACKSON
State : TX
Zip : 77566-5629
Country : US
Telephone Number : 979-297-6458
Fax Number :
Provider Business Practice Location Address
First Line : 2120 ASHLAND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-2418
Country : US
Telephone Number : 979-297-6458
Fax Number : 979-297-0076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 11/02/2016

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Directions to “ PAUL THOMAS DOCIS PA-C” Practice Location

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