Doctor Name: | ESTHER ANNIECE DORMAN |
NPI Number: | 1588852156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 543784 |
Business Practice Address: | 104 N Bryan St Borger, TX - 790074010 |
Business Phone Number: | 8062742986 |
Business Fax Number: | 8062749176 |
Mailing Address: | 104 N Bryan St, BORGER |
State: | TX |
Postal Code: | 790074010 |
Phone Number: | 8062742986 |
Fax Number: | 8062749176 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 543784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |