=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184833121
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBIN W DOBSON M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2007
-----------------------------------------------------
Last Update Date | 07/03/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5012 S US HIGHWAY 75 SUITE 160
-----------------------------------------------------
City | DENISON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75020-4587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-463-1004
-----------------------------------------------------
Fax | 903-463-4545
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5301 VIRGINIA WAY STE 300
-----------------------------------------------------
City | BRENTWOOD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37027-7542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-221-4400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207ZP0102X
-----------------------------------------------------
Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
-----------------------------------------------------
License Number | N3623
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------