Individual
DR. JAREN LANCE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S3510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1P1619
MEDICARE
TX
01
—
1P1799
MEDICARE
TX
Enumeration date
03/20/2018
Last updated
08/16/2021
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