Individual
DR. DALE D DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 DATAPOINT DR, STE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 566-5698
Mailing address
8401 DATAPOINT DR, STE 500, SAN ANTONIO, TX 78229-5900
(210) 614-0180
(210) 566-5698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00025299
AL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
TEMP
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009920935
—
AL
01
—
051516166
BCBS PROVIDER NUMBER
AL
01
—
PENDING
BCBS
TX
05
—
PENDING
—
TX
Enumeration date
10/03/2005
Last updated
05/11/2011
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