Provider Demographics
NPI:1437152170
Name:DUNN, DALE MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:MICHAEL
Last Name:DUNN
Suffix:
Gender:M
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 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-3596
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-0002
Practice Address - Country:US
Practice Address - Phone:806-743-2115
Practice Address - Fax:806-743-2117
Is Sole Proprietor?:No
Enumeration Date:2005-05-26
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3994207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112004101Medicaid
TX82P191OtherBLUE CROSS/ BLUE SHEILD
NM33984OtherPRESBYTERIAN COMMERCIAL
OK100206510AMedicaid
TX112004100OtherFIRSTCARE COMMERCIAL
TX80820ZOtherHMO BLUE
NM01252321Medicaid
NM33984Medicaid
A130OtherTRIWEST
TX103317702Medicaid
TX103317701Medicaid