Angela Doreck (NPI# 1801120043, PAC ID# 4880858521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1801120043 |
PAC ID by PECOS | 4880858521 |
Professional Enrollment ID | I20120611000097 |
Full Name | Angela Doreck |
Address |
12709 Interstate 45 N 500 Willis TX 77318-7025 |
Gender | F |
Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
Graduation Year | 2009 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12709 Interstate 45 N 500, Willis, TX 77318-7025 |
Street Address |
12709 INTERSTATE 45 N 500 |
City | WILLIS |
State | TX |
Zip | 77318-7025 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maribeth Bobadilla | Family Medicine | Lone Star Community Health Center, Inc | 9516 Fm 1097 Rd W, Suite 140, Willis, TX 77318-4976 |
Nancy E Bogenrieder | Nurse Practitioner | Lone Star Community Health Center, Inc | 9516 Fm 1097 Rd W, Suite 140, Willis, TX 77318-4976 |
City | WILLIS |
Zip Code | 77318 |
Specialty | OPTOMETRY |
City + Specialty | WILLIS + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.