Provider Demographics
NPI:1851716385
Name:RAMZI S DAKOUR MD AND RAMONA S ATAYA DAKOUR MD, PLLC
Entity Type:Organization
Organization Name:RAMZI S DAKOUR MD AND RAMONA S ATAYA DAKOUR MD, PLLC
Other - Org Name:GREATER BEAUMONT PEDIATRICS AND FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:S
Authorized Official - Last Name:DAKOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-832-1225
Mailing Address - Street 1:3070 COLLEGE ST
Mailing Address - Street 2:SUITE 205
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
Practice Address - Street 2:SUITE 205
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty