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LORETTA F DOCEKAL, PA – NPI #1114950359
Medical

NPI Profile for LORETTA F DOCEKAL in ROCKWALL, TX.

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Contact Information

LORETTA F DOCEKAL, PA
3090 N. GOLIAD SUITE 110
ROCKWALL, TX  75087
 Phone: 972-722-0011
 Fax: 972-722-0023
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical

 363AM0700X 97 Physician Assistant
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LORETTA F DOCEKAL · (Female)

NPI Number 1114950359
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/09/2006
Last updated 11/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # PA00956
  • WA License # PA10001357
  • WA Medicaid 8465411
  • Other 1017116 PA CERTIFICATION
  • WA Other 8945047 CRIME VICTIMS
  • WA Other 0224086 LABOR & INDUSTRIES
  • WA Other PA10001357 PA LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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