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NPI Code Detail

MEDICARE: DOROTHY MARIE WILLIAMSON FNP

MEDICARE:   DOROTHY MARIE WILLIAMSON  FNP
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1364SF0001XFamily Health Clinical Nurse Specialist444081TX

General Provider Information

NPI Number : 1033427166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY MARIE WILLIAMSON FNP
Provider Business Mailing Address
First Line : 630 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4335
Country : US
Telephone Number : 214-942-5673
Fax Number : 214-942-2330
Provider Business Practice Location Address
First Line : 630 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4335
Country : US
Telephone Number : 214-942-5673
Fax Number : 214-942-2330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2010
Last Update Date : 09/23/2010

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Directions to “ DOROTHY MARIE WILLIAMSON FNP” Practice Location

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