Organization Active NPI

Dolly P Doctor MD PA

  • Internal Medicine Physician
  • Midland, TX
National Provider Identifier
1740735729
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J0476 Issued in TX
Legal business name
DOLLY P DOCTOR MD PA
Practice address
2817 W Loop 250 N Ste a
Midland, TX 79705-3205
Phone
(432) 686-9999
Fax
(432) 685-1700
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dolly Doctor, M.D.
Title
President/Owner
Phone
(432) 686-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X J0476 TX Primary

Addresses

Primary practice location

2817 W Loop 250 N Ste a
Midland, TX 79705-3205

Mailing address

2817 W Loop 250 N Ste a
Midland, TX 79705-3205
Phone (432) 686-9999

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1740735729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 W LOOP 250 N STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053205",
            "telephone_number": "432-686-9999",
            "fax_number": "432-685-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 W LOOP 250 N STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053205",
            "telephone_number": "432-686-9999",
            "fax_number": "432-685-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLLY P DOCTOR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "DOCTOR",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "432-686-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.