Individual
MR. A COLLIN DOLECHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC
Contact information
Practice address
2900 W SOUTHLAKE BLVD STE 160, SOUTHLAKE, TX 76092-6778
(817) 318-6260
Mailing address
2900 W SOUTHLAKE BLVD STE 160, SOUTHLAKE, TX 76092-6778
(817) 318-6260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
948793
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP138629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009003429
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
07/29/2009
Last updated
11/13/2018
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