Provider Demographics
NPI:1235107590
Name:DOBLER-DIXON, AMBER A (MD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:A
Last Name:DOBLER-DIXON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50720
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-0720
Mailing Address - Country:US
Mailing Address - Phone:806-467-0459
Mailing Address - Fax:806-355-1284
Practice Address - Street 1:7411 WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1835
Practice Address - Country:US
Practice Address - Phone:806-350-1100
Practice Address - Fax:806-350-1101
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4778207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82631JOtherBCBS
TX137764010Medicaid
TX82631JOtherBCBS
TX137764010Medicaid
TX82631JMedicare ID - Type Unspecified