Provider Demographics
NPI:1033418470
Name:ATAYA-DAKOUR, RAMONA SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:SUSAN
Last Name:ATAYA-DAKOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3070 COLLEGE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4688
Mailing Address - Country:US
Mailing Address - Phone:409-832-1225
Mailing Address - Fax:409-832-0927
Practice Address - Street 1:3070 COLLEGE ST STE 205
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4688
Practice Address - Country:US
Practice Address - Phone:409-832-1225
Practice Address - Fax:409-832-0927
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5327208000000X, 261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health