Provider Demographics
NPI:1518625136
Name:DYMURDIE LLC
Entity Type:Organization
Organization Name:DYMURDIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:MURDIE
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:713-264-2345
Mailing Address - Street 1:1306 W CASTLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5222
Mailing Address - Country:US
Mailing Address - Phone:713-264-2345
Mailing Address - Fax:
Practice Address - Street 1:1306 W CASTLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5222
Practice Address - Country:US
Practice Address - Phone:713-264-2345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty