Individual
RONALD WILSON DESKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
2800 S TEXAS AVE, STE 102, BRYAN, TX 77802-5361
(979) 774-2053
(979) 776-5914
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
D5962
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137112214
—
TX
Enumeration date
09/27/2006
Last updated
12/15/2016
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