MEDICARE: ANTHONY R DOTI 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	207R00000X	Internal Medicine Physician	K8126	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760403679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY R DOTI MD

Provider Business Mailing Address
First Line	:	1340 EMPIRE CTRL DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4022
Country	:	US
Telephone Number	:	214-632-6394
Fax Number	:	214-525-0664

Provider Business Practice Location Address
First Line	:	1340 EMPIRE CTRL DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4022
Country	:	US
Telephone Number	:	214-632-6394
Fax Number	:	214-525-0664

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

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	01/08/2010

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