Provider Demographics
NPI:1407294101
Name:DOSIER, EMILY ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANN
Last Name:DOSIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18780 INTERSTATE 20
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:TX
Mailing Address - Zip Code:75103-3593
Mailing Address - Country:US
Mailing Address - Phone:903-567-4841
Mailing Address - Fax:903-567-2818
Practice Address - Street 1:18780 INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-3593
Practice Address - Country:US
Practice Address - Phone:903-567-4841
Practice Address - Fax:903-567-2818
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7035207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GC634OtherBCBS
TX75-2616977-001OtherTRICARE
TX752616977029OtherTRICARE
TX365293501Medicaid
TXP01719386OtherRAIL ROAD MEDICARE
TXP01719386OtherRAIL ROAD MEDICARE