DR. Dorris Bethany Black, M.D.

NPI #1548220718 in Temple, Texas

Provider Information

NPI Number: 1548220718
Entity Type: Individual
Name: DR. Dorris Bethany Black, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Mar 23, 2006
Last Updated: Oct 1, 2012

Practice Location

Address: 1905 SW HK DODGEN LOOP
City: Temple
State: Texas
ZIP Code: 76502-3498
Phone: (254) 298-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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