Individual provider · Type 1 NPI

Loretta Fern Docekal, PA

Medical Physician Assistant · Rockwall, TX

NPI number 1114950359 Active

Practice location

3090 N. Goliad Suite 110
Rockwall, TX 75087

Fax (972) 722-0023

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA10001357 (WA)
Medical Physician Assistant Primary 363AM0700XPA00956 (TX)
Physician Assistant 363A00000XPA10001357 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1114950359

Loretta Fern Docekal, PA's National Provider Identifier is 1114950359, issued on Jul 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockwall, TX. The record was last updated on Nov 18, 2019.