Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 641224 | TX |
NPI | 1013145549 |
---|---|
Provider Name | Courtney P Doran |
First Address | Mckinney, TX 75071-7437 |
Second Address | Mckinney, TX 75071-7437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 23/06/2009 |