Individual
ARIELLE DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-5026
(512) 260-1581
(318) 675-6141
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
303149
LA
208600000X
Surgery Physician
Primary
Q5645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102982
—
LA
Enumeration date
05/04/2010
Last updated
04/03/2025
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