Provider Demographics
NPI:1841395696
Name:DOKA, DAVID SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:DOKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1240 LOMALAND DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1405
Mailing Address - Country:US
Mailing Address - Phone:915-591-4441
Mailing Address - Fax:915-591-0142
Practice Address - Street 1:1240 LOMALAND DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1405
Practice Address - Country:US
Practice Address - Phone:915-591-4441
Practice Address - Fax:915-591-0142
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8442207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85Z280OtherBLUE CROSS
TX120126102Medicaid
TX00U76UMedicare ID - Type Unspecified
TX120126102Medicaid