Provider Demographics
NPI:1316112196
Name:BUDZI, DOROTHY KILLAH (FNP, DPH, MSN, MBA)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:KILLAH
Last Name:BUDZI
Suffix:
Gender:F
Credentials:FNP, DPH, MSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1771
Mailing Address - Country:US
Mailing Address - Phone:214-886-9106
Mailing Address - Fax:214-703-3971
Practice Address - Street 1:1618 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1771
Practice Address - Country:US
Practice Address - Phone:214-886-9106
Practice Address - Fax:214-703-3971
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1007344363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty