Provider Demographics
NPI:1447874334
Name:DOSE MANAGEMENT PA
Entity type:Organization
Organization Name:DOSE MANAGEMENT PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:MACDONALD
Authorized Official - Last Name:EAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-699-6801
Mailing Address - Street 1:2111 KRAMER LN STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4032
Mailing Address - Country:US
Mailing Address - Phone:512-566-4233
Mailing Address - Fax:
Practice Address - Street 1:3007 LONGHORN BLVD STE 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7632
Practice Address - Country:US
Practice Address - Phone:512-566-4234
Practice Address - Fax:833-516-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX412890201Medicaid