Provider Demographics
NPI:1174801476
Name:DOLBEE, NATHANIEL L (OD)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:L
Last Name:DOLBEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 FM 1626
Mailing Address - Street 2:STE 110
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6039
Mailing Address - Country:US
Mailing Address - Phone:512-268-2020
Mailing Address - Fax:512-268-3096
Practice Address - Street 1:5401 FM 1626 STE 110
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6039
Practice Address - Country:US
Practice Address - Phone:512-268-2020
Practice Address - Fax:512-268-3096
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7832TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist