Provider Demographics
NPI:1154786135
Name:DOBBS, AUSTIN LAWRENCE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:LAWRENCE
Last Name:DOBBS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12680 W LAKE HOUSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-6087
Mailing Address - Country:US
Mailing Address - Phone:281-436-1969
Mailing Address - Fax:281-436-0783
Practice Address - Street 1:12680 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-6087
Practice Address - Country:US
Practice Address - Phone:281-436-1969
Practice Address - Fax:281-436-0783
Is Sole Proprietor?:No
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist