Individual
DAVID R DICKENS
Active
Individual
DAVID R DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS-P/MH
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
508035
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP102066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096202902
—
TX
Enumeration date
06/30/2006
Last updated
10/26/2021
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