Individual
JACOB LANE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2121 PEASE ST STE 404, HARLINGEN, TX 78550-8338
(956) 507-1920
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
V9889
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
09/29/2025
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