Individual
WILLIAM DARYL DICKEY
Active
Individual
WILLIAM DARYL DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J2552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039347601
—
TX
01
—
100002363
MEDICARE RAILROAD
—
01
—
100143530A
STATE ID
TX
Enumeration date
12/08/2006
Last updated
03/28/2014
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