Healthcare Provider Details

I. General information

NPI: 1255837225
Provider Name (Legal Business Name): DORICH HEALTHCARE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 11/10/2024
Certification Date: 11/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 HIGHLANDER BLVD # 505
ARLINGTON TX
76015-4330
US

IV. Provider business mailing address

700 HIGHLANDER BLVD # 505
ARLINGTON TX
76015-4330
US

V. Phone/Fax

Practice location:
  • Phone: 301-979-0655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GBEMISOLA OLAJIDE
Title or Position: CEO
Credential: FNP
Phone: 301-979-0655