Loretta Fern Docekal in Rockwall - Medical
Loretta Fern Docekal - NPI 1114950359
Loretta Fern Docekal is a Medical in Rockwall, Texas. Loretta Fern Docekal practices all healthcare services and medical treatments related to Medical. The NPI Number for Loretta Fern Docekal is 1114950359. The last update date is 2019-11-18.
Loretta Fern Docekal's current location address is 3090 N. Goliad Suite 110, Rockwall, Texas. You can contact this provider via phone number 9727220011 and fax number 9727220023. The mailing address for Loretta Fern Docekal is 3090 N. Goliad Suite 110, Rockwall, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loretta Fern Docekal |
|---|---|
| Address | 3090 N. Goliad Suite 110, Rockwall, Texas |
| Phone Number | 9727220011 |
| Fax Number | 9727220023 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1114950359 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2019-11-18 |
Provider Mailing Address Detail
| Address | 3090 N. Goliad Suite 110 |
|---|---|
| City | Rockwall |
| State | Texas (TX) |
| Post Code | 75087 |
| Phone Number | 9727220011 |
| Fax Number | 9727220023 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10001357 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1017116 | PA CERTIFICATION | ||
| 224086 | WA | LABOR & INDUSTRIES | |
| 8945047 | WA | CRIME VICTIMS | |
| PA10001357 | WA | PA LICENSE | |
| 8465411 | WA | -- |
Post Comment/ Review Below
What is the Loretta Fern Docekal's 1114950359?
The Loretta Fern Docekal's NPI (National Provider Identifier) Number is 1114950359. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Loretta Fern Docekal?
The Loretta Fern Docekal is physically situated at 3090 N. Goliad Suite 110, in the city of Rockwall, state of TX, with the postal code 75087.
What is Loretta Fern Docekal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Loretta Fern Docekal is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114950359 to Loretta Fern Docekal?
The Centers for Medicare & Medicaid Services originally issued the 1114950359 to Loretta Fern Docekal on 2006-07-09.
When was the information related to Loretta Fern Docekal most recently updated or refreshed?
The details pertaining to the Loretta Fern Docekal, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-11-18.
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