Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | M7956 | TX |
N | 207VG0400X | Gynecologist | 036110914 | IL |
NPI | 1437229358 |
---|---|
Provider Name | Dr. Yashika Trenise Dooley |
First Address | San Antonio, TX 78209-2061 |
Second Address | Ft Sam Houston, TX 78234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 22/04/2020 |