Organization
O JOSEPH DEAN JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODELL JOSEPH DEAN JR. MD (PRESIDENT/OWNER)
(936) 634-8765
Entity
Organization
Contact information
Practice address
302 MEDICAL PARK DR, STE 104, LUFKIN, TX 75904-3148
(936) 634-8765
(936) 639-4258
Mailing address
302 MEDICAL PARK DR, STE 104, LUFKIN, TX 75904-3148
(936) 634-8765
(936) 639-4258
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
J9656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089919702
—
TX
Enumeration date
12/11/2009
Last updated
07/23/2010
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