Polk, Dan G

Polk, Dan G is an sole proprietor health care provider with primary practice located at 6750 West Loop S Ste 1000, Bellaire TX 77401-4105. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Polk, Dan G can be contacted via phone (713) 628-4700.

Contact Information

Primary practice address
6750 West Loop S Ste 1000 Bellaire TX 77401-4105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2-5565 Texas

Profile Details

NPI number 1942205299
LBN Legal business name Polk, Dan G
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Oct 12th, 2011 - about 13 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 1942205299 NPPES
Texas MEDICAID 122378602
Texas Other 0091DZ

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