Provider Demographics
NPI:1801265319
Name:DUBIEL, DANIELLE SCHIMPF (PA-C)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SCHIMPF
Last Name:DUBIEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LYNN
Other - Last Name:SCHIMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:933 SAINT ANDREWS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7138
Mailing Address - Country:US
Mailing Address - Phone:281-364-8844
Mailing Address - Fax:281-364-8833
Practice Address - Street 1:8850 SIX PINES DR
Practice Address - Street 2:SUITE 290
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-2683
Practice Address - Country:US
Practice Address - Phone:281-364-8844
Practice Address - Fax:281-364-8833
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4109207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology