Provider Demographics
NPI:1225269913
Name:DOLECHECK, A COLLIN (ANP-BC)
Entity Type:Individual
Prefix:MR
First Name:A
Middle Name:COLLIN
Last Name:DOLECHECK
Suffix:
Gender:M
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 W SOUTHLAKE BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6778
Mailing Address - Country:US
Mailing Address - Phone:817-318-6260
Mailing Address - Fax:
Practice Address - Street 1:2900 W SOUTHLAKE BLVD STE 160
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6778
Practice Address - Country:US
Practice Address - Phone:817-318-6260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX948793163W00000X
TXAP138629363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
2009003429OtherAMERICAN NURSES CREDENTIALING CENTER