Provider Demographics
NPI:1689637738
Name:DOCDOCIL, JUNIPER
Entity type:Individual
Prefix:
First Name:JUNIPER
Middle Name:
Last Name:DOCDOCIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUNIPER
Other - Middle Name:
Other - Last Name:DINLAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11110 BELLAIRE BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2600
Mailing Address - Country:US
Mailing Address - Phone:888-880-9525
Mailing Address - Fax:888-880-9525
Practice Address - Street 1:11110 BELLAIRE BLVD STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2600
Practice Address - Country:US
Practice Address - Phone:888-880-9525
Practice Address - Fax:888-880-9525
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY210040101OtherHEALTHPLUS