Provider Demographics
NPI:1154440998
Name:DOLINTA, CELIA M (WHCNP)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:M
Last Name:DOLINTA
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 660599
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0599
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:802 HOPKINS ST
Practice Address - Street 2:GARLAND WOMEN'S HEALTH CENTER
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-7379
Practice Address - Country:US
Practice Address - Phone:214-266-0070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX644360363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194573501Medicaid
TX194573505Medicaid
TX194573506Medicaid
TX194573510Medicaid
TX194573502Medicaid
TX194573507Medicaid
TX194573504Medicaid
TX194573509Medicaid
TX194573503Medicaid
TX194573508Medicaid
TX8Y1697OtherBLUE CROSS BLUE SHIELD