Provider Demographics
NPI:1477534550
Name:DOOLEY, CHRISTINA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANN
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:ANN
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1962
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76202-1962
Mailing Address - Country:US
Mailing Address - Phone:940-503-3601
Mailing Address - Fax:940-503-3602
Practice Address - Street 1:209 N BONNIE BRAE ST
Practice Address - Street 2:SUITE 304
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3708
Practice Address - Country:US
Practice Address - Phone:940-503-3601
Practice Address - Fax:940-503-3602
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6036207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175108301Medicaid
TX175108303OtherMEDICAID OTHER
TX175108301Medicaid
TX175108301Medicaid