Dirk Andrew Dekerlegand in Lufkin - Physician Assistant
Dirk Andrew Dekerlegand - NPI 1679503965
Dirk Andrew Dekerlegand is a Physician Assistant in Lufkin, Texas. Dirk Andrew Dekerlegand practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dirk Andrew Dekerlegand is 1679503965. The last update date is 2008-07-30.
Dirk Andrew Dekerlegand's current location address is 4103 S Medford Dr, Lufkin, Texas. You can contact this provider via phone number 9366392384 and fax number 9366399888. The mailing address for Dirk Andrew Dekerlegand is 4103 S Medford Dr, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dirk Andrew Dekerlegand |
|---|---|
| Address | 4103 S Medford Dr, Lufkin, Texas |
| Phone Number | 9366392384 |
| Fax Number | 9366399888 |
| Sole Proprietor | N |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1679503965 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 4103 S Medford Dr |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 7590156330 |
| Phone Number | 9366392384 |
| Fax Number | 9366399888 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00642 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181080601 | TX | -- |
Post Comment/ Review Below
What is the Dirk Andrew Dekerlegand's 1679503965?
The Dirk Andrew Dekerlegand's NPI (National Provider Identifier) Number is 1679503965. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dirk Andrew Dekerlegand is physically located?
The Dirk Andrew Dekerlegand is physically situated at the following address: 4103 S Medford Dr, Lufkin, TX, 7590156330.
What is the Dirk Andrew Dekerlegand's specialty and taxonomy code?
The Dirk Andrew Dekerlegand's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679503965 to Dirk Andrew Dekerlegand?
The Centers for Medicare & Medicaid Services assigned the 1679503965 to Dirk Andrew Dekerlegand on 2006-07-03.
As of what date were the Dirk Andrew Dekerlegand's details last updated?
The information pertaining to the Dirk Andrew Dekerlegand, including its address, specialty, and other details, was most recently updated on 2008-07-30.