Individual
DORIS FORKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4001 TX-36, BRENHAM, TX 77833
(979) 836-4511
Mailing address
4001 TX-36, BRENHAM, TX 77833
(979) 836-4511
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP146044
TX
Other
Enumeration date
08/26/2020
Last updated
07/15/2022
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