MEDICARE: SCHRONDA DORTCH

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
1	343800000X	Secured Medical Transport (VAN)		TX
2	251S00000X	Community/Behavioral Health Agency		TX

General Provider Information

NPI Number	:	1831960145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHRONDA DORTCH

Provider Business Mailing Address
First Line	:	702 NELSON DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-9216
Country	:	US
Telephone Number	:	414-322-5223
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 NELSON DR
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-9216
Country	:	US
Telephone Number	:	414-322-5223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	03/18/2026

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Directions to “ SCHRONDA DORTCH ” Practice Location

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