Dekeratry, Dominic R.

Dekeratry, Dominic R. is an individual health care provider with primary practice located at 1900 Scenic Drive Suite 2208, Georgetown TX 78626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Dekeratry, Dominic R. can be contacted via phone (512) 819-0132.

Contact Information

Primary practice address
1900 Scenic Drive Suite 2208 Georgetown TX 78626
Phone: (512) 819-0132
Fax: (512) 819-9335
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X L0787 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X L0787 Texas

Profile Details

NPI number 1326007816
LBN Legal business name Dekeratry, Dominic R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Aug 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326007816 NPPES
Texas MEDICAID 1436107-03

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