Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | H7292 | TX |
NPI | 1356356745 |
---|---|
Provider Name | Andrew B Dossett |
First Address | Dallas, TX 75231-0805 |
Second Address | Dallas, TX 75231-0805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 04/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
105167402 | (05) | TX |
872368 | BLUE CROSS BLUE SHIELD (01) | TX |
F58672 | (02) | TX |