Most Relevant Information
Provider Data
| NPI Number: | 1003590282 |
| Provider Name: | DOROTHY MCKENZIE WOMACK FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1125421 |
Most Important Dates
| Enumeration Date: | 06/09/2023 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
3535 N FOURTH ST STE 400
LONGVIEW
TX
756050038
Practice Location Phone/Fax
| Phone: | 9037573881 |
| Fax: | 9037575948 |
Provider Mailing Location
3535 N FOURTH ST STE 400
LONGVIEW
TX
756050038
Provider Mailing Phone/Fax
| Phone: | 9037573881 |
| Fax: | 9037575948 |