MEDICARE: ALEXANDER DORIN

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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	0072928	CO

General Provider Information

NPI Number	:	1871050484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER DORIN

Provider Business Mailing Address
First Line	:	10101 HILLWOOD PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1524
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10101 HILLWOOD PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-1524
Country	:	US
Telephone Number	:	817-222-5000
Fax Number	:

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

Provider Enumeration Date	:	03/01/2019
Last Update Date	:	05/05/2026

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Directions to “ ALEXANDER DORIN ” Practice Location

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