Provider Demographics
NPI:1275363830
Name:DYD SERVICES INC
Entity type:Organization
Organization Name:DYD SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:MS
Authorized Official - First Name:DAMARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUARTE RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:346-467-2005
Mailing Address - Street 1:3612 AVENUE H
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3612 AVENUE H
Practice Address - Street 2:SUITE 120
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471
Practice Address - Country:US
Practice Address - Phone:346-467-2005
Practice Address - Fax:281-762-0373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty