NPI Code Details Logo

NPI 1639553977

NPI 1639553977 : TROY DODSON APRN, PMHNP-BC : CARROLLTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639553977
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TROY DODSON APRN, PMHNP-BC
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2015
-----------------------------------------------------
    Last Update Date     |    09/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2225 PARKER RD 
-----------------------------------------------------
    City                 |    CARROLLTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75010-4711
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    972-242-4114
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    300 DELAWARE AVE STE 210 
-----------------------------------------------------
    City                 |    WILMINGTON
-----------------------------------------------------
    State                |    DE
-----------------------------------------------------
    Zip                  |    19801-6601
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    1119266
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.