Individual
DORIAN K SHEVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 N AUSTIN AVE, SUITE 105, GEORGETOWN, TX 78626-4345
(512) 930-1025
Mailing address
900 NORTH AUSTIN AVE, SUITE 105, GEORGETOWN, TX 78626
(512) 930-1025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OK1740
OK
363A00000X
Physician Assistant
Primary
PA04481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200212830
—
OK
Enumeration date
02/15/2006
Last updated
02/13/2013
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