Dorris Bethany Black in Temple - Pediatrics
Dorris Bethany Black - NPI 1548220718
Dorris Bethany Black is a Pediatrics in Temple, Texas. Dorris Bethany Black practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dorris Bethany Black is 1548220718. The last update date is 2012-10-01.
Dorris Bethany Black's current location address is 1905 Sw Hk Dodgen Loop, Temple, Texas. You can contact this provider via phone number 2542982400 and fax number 2547787197. The mailing address for Dorris Bethany Black is 1905 Sw Hk Dodgen Loop, Temple, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorris Bethany Black |
|---|---|
| Address | 1905 Sw Hk Dodgen Loop, Temple, Texas |
| Phone Number | 2542982400 |
| Fax Number | 2547787197 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548220718 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | 1905 Sw Hk Dodgen Loop |
|---|---|
| City | Temple |
| State | Texas (TX) |
| Post Code | 765023498 |
| Phone Number | 2542982400 |
| Fax Number | 2547787197 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | H3548 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8AA947 | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dorris Bethany Black by the Centers for Medicare & Medicaid Services?
The Dorris Bethany Black has been assigned the NPI (National Provider Identifier) 1548220718 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dorris Bethany Black?
The Dorris Bethany Black is physically situated at 1905 Sw Hk Dodgen Loop, in the city of Temple, state of TX, with the postal code 765023498.
What is Dorris Bethany Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dorris Bethany Black is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Dorris Bethany Black receive its 1548220718 assignment from the Centers for Medicare & Medicaid Services?
The Dorris Bethany Black was assigned its 1548220718 by the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date were the details related to Dorris Bethany Black most recently updated or revised?
The information pertaining to Dorris Bethany Black, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-01.