Individual
AUSTIN R DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-2361
Mailing address
726 W CANTY ST, DALLAS, TX 75208-3916
(713) 822-6468
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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