Individual
DORETTA SPATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
3246 PRESTON RD STE 620, FRISCO, TX 75034-9077
(972) 430-7477
(972) 767-3424
Mailing address
4434 SAINT ANDREWS BLVD, IRVING, TX 75038-6442
(817) 308-5442
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
622642
TX
Other
Enumeration date
01/24/2013
Last updated
12/16/2020
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