Healthcare Provider Details

I. General information

NPI: 1912468158
Provider Name (Legal Business Name): OLIVER J DOBBS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 MEDICAL CENTER DR STE 214
EL PASO TX
79902-5008
US

IV. Provider business mailing address

1600 MEDICAL CENTER DR STE 214
EL PASO TX
79902-5008
US

V. Phone/Fax

Practice location:
  • Phone: 915-217-2163
  • Fax: 915-217-2166
Mailing address:
  • Phone: 915-217-2163
  • Fax: 915-217-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberEMC0009502
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU0104
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: