Provider Demographics
NPI:1003127838
Name:DOBBS, MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:DOBBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:HANHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6333 E MOCKINGBIRD LN
Mailing Address - Street 2:SUITE 126
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2692
Mailing Address - Country:US
Mailing Address - Phone:214-826-6005
Mailing Address - Fax:
Practice Address - Street 1:6333 E MOCKINGBIRD LN
Practice Address - Street 2:SUITE 126
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2692
Practice Address - Country:US
Practice Address - Phone:214-826-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-26
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine