Individual
MS. DORACE LISA BEDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5509 ATTWATER AVE, DICKINSON, TX 77539-4157
(409) 948-0001
Mailing address
3227 MOSS ST, LA MARQUE, TX 77568-4612
(409) 935-3423
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP114077
TX
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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