Provider Demographics
NPI:1073555876
Name:DOSS, BELINDA K (APN)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:K
Last Name:DOSS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 COUNTY ROAD 3552
Mailing Address - Street 2:
Mailing Address - City:QUEEN CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75572-3834
Mailing Address - Country:US
Mailing Address - Phone:903-796-6212
Mailing Address - Fax:
Practice Address - Street 1:401 EAST ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-6507
Practice Address - Country:US
Practice Address - Phone:870-773-2177
Practice Address - Fax:870-773-2758
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA02914 ANP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161635758Medicaid
TX8F5584Medicare PIN
AR5Y931F383Medicare PIN