MEDICARE: LILETTE DAUMAS MD PA

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	207Q00000X	Family Medicine Physician	H3240	TX

General Provider Information

NPI Number	:	1851466304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LILETTE DAUMAS MD PA

Provider Business Mailing Address
First Line	:	12755 WOODFOREST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2737
Country	:	US
Telephone Number	:	713-455-1306
Fax Number	:	713-455-9560

Provider Business Practice Location Address
First Line	:	12755 WOODFOREST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2737
Country	:	US
Telephone Number	:	713-455-1306
Fax Number	:	713-455-9560

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	RONALD BRITSCH
Credential	:
Telephone Number	:	713-455-1306

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	04/20/2008

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