MEDICARE: VALERIE LYNN DOBARD PA-C

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	363A00000X	Physician Assistant	2024022554	MO
2	363A00000X	Physician Assistant	PA17835	TX

General Provider Information

NPI Number	:	1518674316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE LYNN DOBARD PA-C

Provider Business Mailing Address
First Line	:	10906 FERNDALE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75238-1013
Country	:	US
Telephone Number	:	713-299-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 PRESTON RD STE 300
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-2619
Country	:	US
Telephone Number	:	972-707-0005
Fax Number	:

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

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	08/27/2025

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