Healthcare Provider Details

I. General information

NPI: 1043173867
Provider Name (Legal Business Name): KAREN ATILEGNA DORSMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5939 HARRY HINES BLVD
DALLAS TX
75235-6246
US

IV. Provider business mailing address

3352 LEAHY DR
DALLAS TX
75229-3852
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-5505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number40594
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number40594
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: