MEDICARE: DR. JEFFREY A. DEAN M.D.

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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	N7692	TX
2	207X00000X	Orthopaedic Surgery Physician	N7692	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N7692	OTHER	TX	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497848055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY A. DEAN M.D.

Provider Business Mailing Address
First Line	:	10131 W MILITARY DR STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1927
Country	:	US
Telephone Number	:	210-899-1450
Fax Number	:	210-899-1907

Provider Business Practice Location Address
First Line	:	10131 W MILITARY DR STE 104
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1927
Country	:	US
Telephone Number	:	210-899-1450
Fax Number	:	210-899-1907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	12/04/2024

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