MEDICARE: DORFCORP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	261QU0200X	Urgent Care Clinic/Center
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center
5	261QP2300X	Primary Care Clinic/Center
6	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1982417473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORFCORP LLC

Provider Business Mailing Address
First Line	:	5500 KELL BLVD STE 100
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76310-1612
Country	:	US
Telephone Number	:	940-264-2273
Fax Number	:	940-584-6547

Provider Business Practice Location Address
First Line	:	5500 KELL BLVD STE 100
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76310-1612
Country	:	US
Telephone Number	:	940-264-2273
Fax Number	:	940-257-2854

Authorized Official
Title or Position	:	OWNER
Name	:	GIDGETT BATES
Credential	:
Telephone Number	:	940-257-8388

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	04/08/2026

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Directions to “DORFCORP LLC ” Practice Location

Language	Start Address	Practice Location

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