Dalzell, Dionna M
Dalzell, Dionna M is an individual health care provider with primary practice located at 9525 N Beach St Ste 405 , Fort Worth TX 76244. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Dalzell, Dionna M can be contacted via phone (817) 502-7411.Contact Information
Primary practice address
9525 N Beach St Ste 405
Fort Worth TX 76244
Phone: (817) 502-7411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP117498 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 76248 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110705 | Nebraska |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | AP117498 | Texas |
Profile Details
| NPI number | 1114984663 |
|---|---|
| LBN Legal business name | Dalzell, Dionna M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Mar 6th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114984663 | NPPES |
| Texas | MEDICAID | 203611302 | |
| Texas | Other | 281353702 | |
| Texas | Other | 281353701 | |
| Texas | Other | 8Y9337 |
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