Provider Demographics
NPI:1730825290
Name:DOOR DOCS, PLLC
Entity type:Organization
Organization Name:DOOR DOCS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASCORRO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-787-1478
Mailing Address - Street 1:PO BOX 873
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77553-0873
Mailing Address - Country:US
Mailing Address - Phone:281-699-3323
Mailing Address - Fax:
Practice Address - Street 1:4920 SEAWALL BLVD STE B
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-6011
Practice Address - Country:US
Practice Address - Phone:281-699-3323
Practice Address - Fax:281-699-3276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty