Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | P4567 | TX |
NPI | 1003127838 |
---|---|
Provider Name | Dr. Michelle Dobbs |
First Address | Dallas, TX 75214-2692 |
Second Address | Dallas, TX 75214-2692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2010 |
Last Update Date | 08/07/2013 |