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Individual
MR. ALAN KEITH DOBBS
Active
Individual
MR. ALAN KEITH DOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
629988
TX
363LF0000X
Family Nurse Practitioner
629988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010242207
—
VA
01
—
1417941758
TRICARE SOUTH
—
01
—
844N63
BCBS-TX
TX
05
—
PENDING
—
TN
Enumeration date
09/01/2005
Last updated
11/07/2011
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