| Organization Name: | JOHN H. DORAN,M.D., P.L.LC. |
| NPI Number: | 1003251489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN H. DORAN (PHYSICIAN) |
| Mailing Address: | 700 Dotsy Ave Odessa |
| State: | TX US |
| Postal Code: | 797634238 |
| Phone Number: | 4323333295 |
| Fax Number: | 4323338840 |
| NPI Enumeration Date: | 04/30/2013 |
| NPI Last Update Date: | 04/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | E0890 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |