Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 211022 | TX |
NPI | 1003101940 |
---|---|
Provider Name | Britnye De'shae Dobbins |
First Address | Wichita Falls, TX 76302-2211 |
Second Address | Wichita Falls, TX 76302-2211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 17/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
111408402 | (05) | TX |