Provider Demographics
NPI:1639477318
Name:OZOR, DOROTHY U (RN)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:U
Last Name:OZOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 BOBING DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-6045
Mailing Address - Country:US
Mailing Address - Phone:214-695-2889
Mailing Address - Fax:972-420-7958
Practice Address - Street 1:1460 BOBING DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6045
Practice Address - Country:US
Practice Address - Phone:214-695-2889
Practice Address - Fax:972-420-7958
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012261163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7478Medicare UPIN