MEDICARE: DR. LUCY M. DOSSETT MD

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	2085R0202X	Diagnostic Radiology Physician	H5438	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730175126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCY M. DOSSETT MD

Provider Business Mailing Address
First Line	:	1750 N HAMPTON RD
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2306
Country	:	US
Telephone Number	:	214-946-4397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 N BECKLEY AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1201
Country	:	US
Telephone Number	:	214-947-8181
Fax Number	:

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	12/02/2015

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