Provider Demographics
NPI:1699784314
Name:MCVEAN, DOVIE (PA-C)
Entity type:Individual
Prefix:MS
First Name:DOVIE
Middle Name:
Last Name:MCVEAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 L DON DODSON DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-5788
Mailing Address - Country:US
Mailing Address - Phone:817-288-0084
Mailing Address - Fax:817-445-1039
Practice Address - Street 1:2008 L DON DODSON DR
Practice Address - Street 2:SUITE 110
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5788
Practice Address - Country:US
Practice Address - Phone:817-288-0084
Practice Address - Fax:817-445-1039
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02170363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMM1255581OtherDEA NUMBER