Provider Demographics
NPI:1265896195
Name:RICHMOND, DAJONITTA (MD)
Entity type:Individual
Prefix:
First Name:DAJONITTA
Middle Name:
Last Name:RICHMOND
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:DAJONITTA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1400 GRAHAM DRIVE
Mailing Address - Street 2:STE B PMB 1001
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-4917
Practice Address - Country:US
Practice Address - Phone:409-772-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD2163682084P0800X
ND204442084P0800X
WAMD614639052084P0800X
TXR93182084P0800X
MT1257972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry