Healthcare Provider Details

I. General information

NPI: 1487340840
Provider Name (Legal Business Name): CHRISTIAN GABRIEL DOBY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SCENIC DR
GEORGETOWN TX
78626-7726
US

IV. Provider business mailing address

2000 SCENIC DR
GEORGETOWN TX
78626-7726
US

V. Phone/Fax

Practice location:
  • Phone: 850-901-1970
  • Fax:
Mailing address:
  • Phone: 850-901-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV6577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: