Provider Demographics
NPI:1972767382
Name:JANELLE DORSETT M.D.,P.A.
Entity type:Organization
Organization Name:JANELLE DORSETT M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:ODOM
Authorized Official - Last Name:DORSETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-788-1212
Mailing Address - Street 1:3405 22ND ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1347
Mailing Address - Country:US
Mailing Address - Phone:806-788-1212
Mailing Address - Fax:806-788-1253
Practice Address - Street 1:3405 22ND ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1347
Practice Address - Country:US
Practice Address - Phone:806-788-1212
Practice Address - Fax:806-788-1253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9899207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty