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NPI Code Detail

MEDICARE: WILLIAM CASEY DEAN DO

MEDICARE:   WILLIAM CASEY DEAN  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianBP10070622TX

General Provider Information

NPI Number : 1134744824
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CASEY DEAN DO
Provider Business Mailing Address
First Line : 2060 WEAVER RD
Second Line :
City : NOCONA
State : TX
Zip : 76255-6938
Country : US
Telephone Number : 817-932-4022
Fax Number : 817-241-0372
Provider Business Practice Location Address
First Line : 7101 BRYANT IRVIN RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4135
Country : US
Telephone Number : 817-932-4022
Fax Number : 817-241-0372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2020
Last Update Date : 03/17/2026

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Directions to “ WILLIAM CASEY DEAN DO” Practice Location

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