Healthcare Provider Details

I. General information

NPI: 1881977460
Provider Name (Legal Business Name): SABRINA ANN DORRIS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. SABRINA ANN LATHRAM

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 W EXCHANGE PKWY STE 200
ALLEN TX
75013-7049
US

IV. Provider business mailing address

865 JUNCTION DR
ALLEN TX
75013-5006
US

V. Phone/Fax

Practice location:
  • Phone: 972-649-5480
  • Fax: 469-854-6664
Mailing address:
  • Phone: 214-547-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number605373
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: