Karen Delane Dickerson in Mesquite - Specialist

Karen Delane Dickerson - NPI 1861475956

Karen Delane Dickerson is a Specialist in Mesquite, Texas. Karen Delane Dickerson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Karen Delane Dickerson is 1861475956. The last update date is 2021-03-30.

Karen Delane Dickerson's current location address is 1675 Republic Pkwy, Mesquite, Texas. You can contact this provider via phone number 9728509179 and fax number 8777205614. The mailing address for Karen Delane Dickerson is 1675 Republic Pkwy, Mesquite, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Delane Dickerson
Address 1675 Republic Pkwy, Mesquite, Texas
Phone Number 9728509179
Fax Number 8777205614
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1861475956
Provider Enumeration Date 2005-11-22
Last Updated Date 2021-03-30

Provider Mailing Address Detail

Address 1675 Republic Pkwy
City Mesquite
State Texas (TX)
Post Code 751506902
Phone Number 9728509179
Fax Number 8777205614

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No J4083
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Karen Delane Dickerson

What is the unique 10-digit identifier code issued to Karen Delane Dickerson by the Centers for Medicare & Medicaid Services?

The Karen Delane Dickerson has been assigned the NPI (National Provider Identifier) 1861475956 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Karen Delane Dickerson is physically located?

The Karen Delane Dickerson is situated at the following address: 1675 Republic Pkwy, Mesquite, TX 751506902.

What is the Karen Delane Dickerson's specialty and taxonomy code?

The Karen Delane Dickerson's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did Karen Delane Dickerson receive its 1861475956 assignment from the Centers for Medicare & Medicaid Services?

The Karen Delane Dickerson was assigned its 1861475956 on 2005-11-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Karen Delane Dickerson most recently updated or refreshed?

The details pertaining to the Karen Delane Dickerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-30.

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