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NPI Code Detail

MEDICARE: DYNAMIC MEDICAL MANAGEMENT, INC.

MEDICARE: DYNAMIC MEDICAL MANAGEMENT, INC.
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
1363L00000XNurse PractitionerAP124919TX

General Provider Information

NPI Number : 1851763171
Entity Type Code : Organization
Provider Name (Legal Business Name) : DYNAMIC MEDICAL MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 565 S MASON RD # 437
Second Line :
City : KATY
State : TX
Zip : 77450-2437
Country : US
Telephone Number : 214-641-8610
Fax Number : 281-339-9536
Provider Business Practice Location Address
First Line : 3050 POST OAK BLVD STE 510
Second Line :
City : HOUSTON
State : TX
Zip : 77056-6512
Country : US
Telephone Number : 281-339-9535
Fax Number : 281-339-9536
Authorized Official
Title or Position : NURSE PRACTITIONER/PRESIDENT
Name : VERONICA WEATHERSPOON
Credential : APRN, FNP-C
Telephone Number : 214-641-8610
Provider Enumeration Date : 10/26/2015
Last Update Date : 11/19/2024

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Directions to “DYNAMIC MEDICAL MANAGEMENT, INC. ” Practice Location

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