Individual
DR. PERRY EARL BICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-2800
(214) 645-2808
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-2800
(214) 645-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M9163
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2000153492
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M9163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128146
MO-BLUE SHIELD
—
05
—
193618901
—
TX
05
—
205087901
—
MO
01
—
8P5713
BCBS
TX
Enumeration date
07/17/2006
Last updated
04/06/2012
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