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Organization

JOHN P. DICE, M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRISH LEHMAN (CREDENTIALING SPECIALIST)
(512) 259-4470
Entity
Organization

Contact information

Practice address
800 W 34TH ST, SUITE 201, AUSTIN, TX 78705-1143
(512) 454-5821
(512) 459-9137
Mailing address
800 W 34TH ST, SUITE 201, AUSTIN, TX 78705-1143
(512) 454-5821
(512) 459-9137

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
L6031
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0468234
CIGNA
TX
01
8CV409
BLUE CROSS/BLUE SHIELD
TX
01
9464729
AETNA
TX
Enumeration date
05/19/2011
Last updated
11/14/2011
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