Individual
CAROL JANE DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4351 BOOTH CALLOWAY RD STE 101, NORTH RICHLAND HILLS, TX 76180-7398
(817) 284-1165
(817) 284-4990
Mailing address
4351 BOOTH CALLOWAY RD STE 101, NORTH RICHLAND HILLS, TX 76180-7398
(817) 284-1165
(817) 284-4990
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
230697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230697
NURSE LICENSE
TX
Enumeration date
06/04/2020
Last updated
06/04/2020
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