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NPI Code Detail

MEDICARE: ARIELLE DUBOSE MD

MEDICARE: ARIELLE DUBOSE 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
1208600000XSurgery Physician303149LA
2208600000XSurgery PhysicianQ5645TX

Other Identifiers

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

General Provider Information

NPI Number : 1730407578
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELLE DUBOSE MD
Provider Business Mailing Address
First Line : 6210 E HWY 290
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 MEDICAL PKWY STE 200
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-5026
Country : US
Telephone Number : 512-260-1581
Fax Number : 318-675-6141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2010
Last Update Date : 04/03/2025

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Directions to “ ARIELLE DUBOSE MD” Practice Location

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