Individual
SANJEEV DUBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W 38TH ST, #101, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
9704 OXAUS LN, AUSTIN, TX 78759-7766
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L0144
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
L0144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141259501
—
TX
Enumeration date
04/19/2006
Last updated
11/05/2024
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