Dr. Dorris Bethany Black
M.D. | Pediatrics | Female
Dr. Dorris Bethany Black, M.D. is a Temple, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Dorris Bethany Black is
1905 Sw Hk Dodgen Loop, Temple, Texas - 76502-3498. She can be contacted on phone at
254-298-2400 and fax number 254-778-7197.
Dr. Dorris Bethany Black is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Dorris Bethany Black is
1548220718 which was assigned by NPPES on 23 Mar, 2006 and it was last updated on 01 Oct, 2012.
Dr. Dorris Bethany Black license number is
H3548 for Pediatrics (208000000X) in Texas.
Dr. Dorris Bethany Black is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Dorris Bethany Black basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Dorris Bethany Black |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Dorris Bethany Black address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1905 Sw Hk Dodgen Loop
Temple, TX, 76502-3498
United States |
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| Phone Number : | 254-298-2400 |
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| Fax Number : | 254-778-7197 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548220718 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2006 |
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| Last Updated On : | 01 Oct, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dorris Bethany Black are as mentioned. Primary taxonomy code for Dr. Dorris Bethany Black, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | H3548 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dorris Bethany Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8AA947 | Other | | BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1905 Sw Hk Dodgen Loop
Temple, TX, 76502-3498
United States |
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| Phone Number : | 254-298-2400 |
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| Fax Number : | 254-778-7197 |
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Business Location:
Patients can refer following map for directions to
Dr. Dorris Bethany Black practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.