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NPI Code Detail

MEDICARE: THAD JAMES DEAN DO

MEDICARE:   THAD JAMES 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
1207X00000XOrthopaedic Surgery Physician67410GA
2390200000XStudent in an Organized Health Care Education/Training Program
3207X00000XOrthopaedic Surgery PhysicianP7423TX

General Provider Information

NPI Number : 1417148065
Entity Type Code : Individual
Provider Name (Legal Business Name) : THAD JAMES DEAN DO
Provider Business Mailing Address
First Line : 800 ORTHOPEDIC WAY
Second Line :
City : ARLINGTON
State : TX
Zip : 76015-1629
Country : US
Telephone Number : 817-375-5375
Fax Number : 817-299-1706
Provider Business Practice Location Address
First Line : 6900 HARRIS PKWY STE 310
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4261
Country : US
Telephone Number : 817-375-5200
Fax Number : 817-299-1792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 07/06/2021

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Directions to “ THAD JAMES DEAN DO” Practice Location

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