Vande Maele, Dominique

Vande Maele, Dominique is an individual health care provider with primary practice located at 100B E Alton Gloor Blvd Ste 260, Brownsville TX 78526-3376. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Vande Maele, Dominique can be contacted via phone (956) 350-3901.

Contact Information

Primary practice address
100B E Alton Gloor Blvd Ste 260 Brownsville TX 78526-3376
Fax: (956) 350-3900
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X K3511 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X K3511 Texas

Profile Details

NPI number 1437256815
LBN Legal business name Vande Maele, Dominique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 9th, 2022 - about 3 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 1437256815 NPPES
Texas MEDICAID 030137602
Texas MEDICAID 030137601

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