Docekal, Loretta Fern

Docekal, Loretta Fern is an sole proprietor health care provider with primary practice located at 3090 N. Goliad Suite 110 , Rockwall TX 75087. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Docekal, Loretta Fern can be contacted via phone (972) 722-0011.

Contact Information

Primary practice address
3090 N. Goliad Suite 110 Rockwall TX 75087
Phone: (972) 722-0011
Fax: (972) 722-0023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10001357 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00956 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10001357 Washington

Profile Details

NPI number 1114950359
LBN Legal business name Docekal, Loretta Fern
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Nov 18th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114950359 NPPES
Other 1017116 PA CERTIFICATION
Other 0224086 PA CERTIFICATION
Other 8945047 PA CERTIFICATION
Other PA10001357 PA CERTIFICATION
MEDICAID 8465411 PA CERTIFICATION

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