Basic Information
| Provider Information | |||||||||
| NPI: | 1710255500 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOLBEE & ASSOCIATES, PLLC | ||||||||
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| OtherOrganizationName: | TEXAS STATE OPTICAL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3014 W WILLIAM CANNON DR APT 1731 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787455045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5125860792 | ||||||||
| FaxNumber: | 5122223935 | ||||||||
| Practice Location | |||||||||
| Address1: | 5401 FM 1626 STE 110 | ||||||||
| Address2: | |||||||||
| City: | KYLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786406039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122682020 | ||||||||
| FaxNumber: | 5122683096 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2011 | ||||||||
| LastUpdateDate: | 09/04/2014 | ||||||||
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| AuthorizedOfficialLastName: | DOLBEE | ||||||||
| AuthorizedOfficialFirstName: | NATHANIEL | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER / DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 5125860792 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | O.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 7832TG | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.