Dionna M Dalzell
Neurosurgeon Nurse Practitioner - Family Medicine
9525 N Beach St Ste 405
Fort Worth
, Texas 76244
Dionna M Dalzell
Neurosurgeon Nurse Practitioner - Family Medicine
9525 N Beach St Ste 405
Fort Worth
, Texas 76244
(817) 502-7411
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About
Features
Specialties
- Neurosurgeon
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Dionna M Dalzell
- 9525 N Beach St Ste 405
- Fort Worth, TX
- Zip : 76244-6438
- Phone : (817) 502-7411
Second Address
- Dionna M Dalzell
- 9525 N Beach St Ste 405
- Fort Worth, TX
- Zip : 76244
- Phone : (817) 502-7411
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Is Dionna M Dalzell a sole practitioner?
Is Dionna M Dalzell accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | AP117498 | TX |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 110705 | NE |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 76248 | TX |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | AP117498 | TX |
National Provider Identifier
| NPI | 1114984663 |
|---|---|
| Provider Name | Dionna M Dalzell |
| First Address | Fort Worth, TX 76244-6438 |
| Second Address | Fort Worth, TX 76244 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 06/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 203611302 | (05) | TX |
| 281353701 | MEDICAID GROUP TPI (01) | TX |
| 281353702 | MEDICAID GROUP EP1 (01) | TX |
| 8Y9337 | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.