Basic Information
Provider Information
NPI: 1124567912
EntityType: 2
ReplacementNPI:  
OrganizationName: JULIE C. DOKA
LastName:  
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MiddleName:  
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Credential:  
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Mailing Information
Address1: 5959 GATEWAY BLVD W STE 120
Address2:  
City: EL PASO
State: TX
PostalCode: 799253315
CountryCode: US
TelephoneNumber: 9157791716
FaxNumber:  
Practice Location
Address1: 1755 CURIE DR
Address2:  
City: EL PASO
State: TX
PostalCode: 799022919
CountryCode: US
TelephoneNumber: 9155443636
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/14/2017
LastUpdateDate: 02/14/2017
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: DOKA
AuthorizedOfficialFirstName: JULIE
AuthorizedOfficialMiddleName: C
AuthorizedOfficialTitleorPosition: OWNER/ DIRECTOR
AuthorizedOfficialTelephone: 9153287270
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XE8443TXY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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