Individual
DR. ELIZABETH DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 DENNISON ST, DALLAS, TX 75212-2460
(972) 502-4190
Mailing address
12880 HILLCREST RD, SUITE J104, DALLAS, TX 75230-1532
(214) 866-0222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N8779
TX
2084P0804X
Child & Adolescent Psychiatry Physician
N8779
TX
Other
Enumeration date
07/25/2007
Last updated
01/09/2019
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