Provider Demographics
NPI:1831557982
Name:DAKORA, VIOLET (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:DAKORA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 GALLERY CIR STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3341
Mailing Address - Country:US
Mailing Address - Phone:210-802-4695
Mailing Address - Fax:210-802-4698
Practice Address - Street 1:116 GALLERY CIR STE 201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3341
Practice Address - Country:US
Practice Address - Phone:210-802-4695
Practice Address - Fax:210-802-4698
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX845837163W00000X
TXF06180743363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse