Organization
STEVEN C. DICKHAUT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARMAYNE DICKHAUT (OFFICE MANGER)
(936) 569-9443
Entity
Organization
Contact information
Practice address
4800 NE STALLINGS DR STE 110, NACOGDOCHES, TX 75965-1250
(936) 569-9443
(936) 560-5667
Mailing address
4800 NE STALLINGS DR STE 110, NACOGDOCHES, TX 75965-1250
(936) 569-9443
(936) 560-5667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E8435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896557-02
—
TX
01
—
1851349773
MEDICARE
TX
Enumeration date
04/04/2007
Last updated
06/22/2010
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