Elizabeth T Dolan, MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ELIZABETH T DOLAN, MD PA

Practice address

10611 Garland Rd Ste 210
Dallas, TX 75218-2695

Phone

(214) 324-2881

Fax

(214) 328-4084

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth T Dolan, M.D.NPI 1881632602

Title

President

Phone

(214) 324-2881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White Rock Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth T Dolan, M.D.

  • Specialist
  • Dallas, TX
  • NPI 1881632602
  Medicare reassignment NPD Authorized official
• Christy Cathleen Riddle, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1992835565
  Medicare reassignment NPD
• Floyd Lester Howsden, M.D.

  • Specialist
  • Garland, TX
  • NPI 1609833029
  NPD (past)
• Lynne Wurts, MD

  • Dermatology Physician
  • Dallas, TX
  • NPI 1629035282
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1992924757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182695",
            "telephone_number": "214-324-2881",
            "fax_number": "214-328-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 GARLAND RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182695",
            "telephone_number": "214-324-2881",
            "fax_number": "214-328-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH T DOLAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-324-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP",
            "identifier": "0052NZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Rock Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eliteplus UC Care LLC
• Elixir Medical Center PLLC
• Shimirimana Eliya
• Elizabeth I. Perez & Associates, Inc.
• Elizabeth I. Perez & Associates, Inc.
• Emily Elizondo
• Ernest Joel Elizondo, DDS
• Maria Libia Garza Elizondo, LPC
• Ghassan Hosni Elkadi, MD
• Zachariah Elkhatib

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.