Individual
MRS. MARY VIRGINIA DOUPHRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
802 HOPKINS DRIVE, GARLAND, TX 75040
(214) 266-0780
(214) 266-0784
Mailing address
604 STONEBRIDGE DRIVE, ROCKWALL, TX 75087-3410
(972) 772-5107
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
516122
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
516122
BOARD NS EXAMINERS LICENS
TX
Enumeration date
10/03/2006
Last updated
07/08/2007
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