Healthcare Provider Details

I. General information

NPI: 1992498703
Provider Name (Legal Business Name): MADELINE DABBS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 JOE RAMSEY BLVD E STE A
GREENVILLE TX
75401-7776
US

IV. Provider business mailing address

PO BOX 1908
GREENVILLE TX
75403-1908
US

V. Phone/Fax

Practice location:
  • Phone: 903-455-4458
  • Fax:
Mailing address:
  • Phone: 903-454-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW7008
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: