# O JOSEPH DEAN JR MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679802128
- **Authorized official:** DR. ODELL JOSEPH DEAN JR. MD (PRESIDENT/OWNER)
- **Authorized official phone:** (936) 634-8765

## Contact information

- **Practice address:** 302 MEDICAL PARK DR, STE 104, LUFKIN, TX 75904-3148
- **Practice address phone:** (936) 634-8765
- **Practice address fax:** (936) 639-4258
- **Mailing address:** 302 MEDICAL PARK DR, STE 104, LUFKIN, TX 75904-3148
- **Mailing address phone:** (936) 634-8765
- **Mailing address fax:** (936) 639-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | J9656 | TX | Yes |

## Other

- **Enumeration date:** 12/11/2009
- **Last updated:** 07/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 089919702 | — | TX |