Individual
JOHN RUSSEL DYKEMA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6363 FOREST PARK RD,7TH FLOOR STE749, DALLAS, TX 75390-2500
(214) 645-8500
(214) 645-2632
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S6606
TX
Other
Enumeration date
04/11/2016
Last updated
07/13/2020
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