Provider Demographics
NPI:1922049535
Name:HOWARD, DORA ELIA (PA)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:ELIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:301 N N ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6404
Practice Address - Country:US
Practice Address - Phone:432-685-1559
Practice Address - Fax:432-683-6973
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03372363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01843054OtherRAILROAD
TX366103501Medicaid
TXQ25952Medicare UPIN
TXTXB113069Medicare PIN
TX8D8955Medicare PIN
TXP01843054OtherRAILROAD
TX8C9186Medicare PIN