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NPI Code Detail

MEDICARE: COURTNEY P DORAN NP

MEDICARE: COURTNEY P DORAN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician641224TX

General Provider Information

NPI Number : 1013145549
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY P DORAN NP
Provider Business Mailing Address
First Line : 1790 N STONEBRIDGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-7437
Country : US
Telephone Number : 972-390-9002
Fax Number : 214-491-3777
Provider Business Practice Location Address
First Line : 1790 N STONEBRIDGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-7437
Country : US
Telephone Number : 972-390-9002
Fax Number : 214-491-3777
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 06/23/2009

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Directions to “ COURTNEY P DORAN NP” Practice Location

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