MEDICARE: KELSEY R DOMBROWSKI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	829235	TX

General Provider Information

NPI Number	:	1306532221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY R DOMBROWSKI DO

Provider Business Mailing Address
First Line	:	5203 LAKE RIDGE PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3010
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5203 LAKE RIDGE PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3010
Country	:	US
Telephone Number	:	817-633-9590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	06/03/2026

Similar Medicare Providers

1174198485 — ANTHONY MANUEL PEREZ MD
Practice Location Address:

5203 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
75052-3010

Practice Phone: 817-633-9590
Practice Fax:

1457290561 — COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP
Practice Location Address:

5203 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
75052-3010

Practice Phone: 682-218-5400
Practice Fax:

1184460693 — ERIC RIOS
Practice Location Address:

2764 PLEASANT HILL RD
GRAND PRAIRIE, TX
75052-8555

Practice Phone: 214-334-2031
Practice Fax:

1447182431 — VICTORIA LYN FARRAR
Practice Location Address:

5319 FIG TREE LN
GRAND PRAIRIE, TX
75052-0602

Practice Phone: 830-431-5709
Practice Fax:

1306779640 — TERRANIE SIMS
Practice Location Address:

5752 JILLIAN WAY
GRAND PRAIRIE, TX
75052-0418

Practice Phone: 817-298-7689
Practice Fax:

1194728402 — CITY OF GRAND PRAIRIE
Practice Location Address:

1525 ARKANSAS LN
GRAND PRAIRIE, TX
75052-7401

Practice Phone: 972-237-8300
Practice Fax: 972-237-8309

Directions to “ KELSEY R DOMBROWSKI DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.