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NPI Code Detail

MEDICARE: DEAN R DICKS OD

MEDICARE: DEAN R DICKS OD
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
1152W00000XOptometrist6029TGTX

General Provider Information

NPI Number : 1982655254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN R DICKS OD
Provider Business Mailing Address
First Line : PO BOX 66308
Second Line :
City : HOUSTON
State : TX
Zip : 77266-6308
Country : US
Telephone Number : 832-548-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1415 CALIFORNIA ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-2602
Country : US
Telephone Number : 832-548-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 06/17/2022

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Directions to “ DEAN R DICKS OD” Practice Location

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