Individual
JOHN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5615 DEAUVILLE BLVD, STE 220, MIDLAND, TX 79706
(432) 686-0321
(432) 686-0664
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 686-6605
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H2331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119245204
—
TX
01
—
8EA043
BCBS TX
TX
01
—
8X2920
BC/BS PROVIDER ID
TX
01
—
P00605441
MEDICARE RAILROAD
TX
Enumeration date
07/31/2006
Last updated
03/07/2023
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