Healthcare Provider Details

I. General information

NPI: 1346246808
Provider Name (Legal Business Name): DEAN A CIONE M.D., F.A.C.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6124 W PARKER RD STE 436
PLANO TX
75093-8125
US

IV. Provider business mailing address

6124 W PARKER RD STE 436
PLANO TX
75093-8125
US

V. Phone/Fax

Practice location:
  • Phone: 972-608-3356
  • Fax: 972-608-3360
Mailing address:
  • Phone: 972-608-3356
  • Fax: 972-608-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberJ4045
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: