Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | P1066 | TX |
N | 208200000X | Surgeon | P1066 | TX |
N | 208600000X | Surgeon | P1066 | TX |
NPI | 1851662001 |
---|---|
Provider Name | Dr. Debra Kay Doherty |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2012 |
Last Update Date | 11/01/2021 |