Provider Demographics
NPI:1407296601
Name:DOBECKA, ALLISON FAY (NP-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:FAY
Last Name:DOBECKA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 HERITAGE DR
Mailing Address - Street 2:#110
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3256
Mailing Address - Country:US
Mailing Address - Phone:855-860-2109
Mailing Address - Fax:855-814-8428
Practice Address - Street 1:1515 HERITAGE DR
Practice Address - Street 2:#110
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3256
Practice Address - Country:US
Practice Address - Phone:855-860-2109
Practice Address - Fax:855-814-8428
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX725127363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health