Individual
MRS. PEGAN DOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Mailing address
727 YORKTOWN CT, LONGVIEW, TX 75601-4933
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1047419
TX
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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