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
Phone: (713) 628-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942205299 | NPPES |
| Texas | MEDICAID | 122378602 | |
| Texas | Other | 0091DZ |
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