Individual
DR. KENT FARR DICKSON
Active
Individual
DR. KENT FARR DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J4085
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
J4085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029379702
—
TX
01
—
200031203
RAILROAD MEDICARE
TX
01
—
8BF132
BLUECROSS
TX
Enumeration date
05/04/2006
Last updated
03/01/2021
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