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NPI Code Detail

MEDICARE: DR. TIA ELIZABETH DONALD DDS

MEDICARE: DR. TIA ELIZABETH DONALD DDS
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
11223G0001XGeneral Practice Dentistry39251TX

General Provider Information

NPI Number : 1972948503
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIA ELIZABETH DONALD DDS
Provider Business Mailing Address
First Line : 21843 KING HEIGHTS LN
Second Line :
City : HOUSTON
State : TX
Zip : 77073-1376
Country : US
Telephone Number : 713-578-0999
Fax Number :
Provider Business Practice Location Address
First Line : 5900 NORTH FWY STE 101
Second Line :
City : HOUSTON
State : TX
Zip : 77076-4041
Country : US
Telephone Number : 713-578-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2013
Last Update Date : 05/18/2023

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