Vande Maele, Dominique
Vande Maele, Dominique is an individual health care provider with primary practice located at 100B E Alton Gloor Blvd Ste 260, Brownsville TX 78526-3376. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Vande Maele, Dominique can be contacted via phone (956) 350-3901.Contact Information
Primary practice address
100B E Alton Gloor Blvd Ste 260
Brownsville TX 78526-3376
Phone: (956) 350-3901
Fax: (956) 350-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | K3511 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K3511 | Texas |
Profile Details
| NPI number | 1437256815 |
|---|---|
| LBN Legal business name | Vande Maele, Dominique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 9th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437256815 | NPPES |
| Texas | MEDICAID | 030137602 | |
| Texas | MEDICAID | 030137601 |
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