Provider Demographics
NPI:1033949631
Name:DABNEY, TROYAH ERIN
Entity type:Individual
Prefix:
First Name:TROYAH
Middle Name:ERIN
Last Name:DABNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TROYAH
Other - Middle Name:ERIN
Other - Last Name:REDDICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1101 RAINTREE CIR STE 250
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4962
Mailing Address - Country:US
Mailing Address - Phone:972-649-6644
Mailing Address - Fax:972-649-6908
Practice Address - Street 1:1101 RAINTREE CIR STE 250
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4962
Practice Address - Country:US
Practice Address - Phone:972-649-6644
Practice Address - Fax:972-649-6908
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX958292163W00000X
TX1175647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse