Individual
DR. MIKAL JANELLE DORSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3405 22ND ST, SUITE 300, LUBBOCK, TX 79410-1305
(806) 788-1212
(806) 788-1253
Mailing address
20801 COUNTY ROAD 1940, LUBBOCK, TX 79423-6617
(806) 863-2093
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
F9899
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F9899
STATE ID #
TX
Enumeration date
10/26/2005
Last updated
05/03/2010
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