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Organization

DICKINSON & WELLS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RON DICKINSON PA-C (OWNER)
(903) 645-2044
Entity
Organization

Contact information

Practice address
213 SCURRY STREET, A, DAINGERFIELD, TX 75638-1658
(903) 645-2044
(903) 645-2270
Mailing address
PO BOX 586, DAINGERFIELD, TX 75638-0586
(903) 645-2044
(903) 645-2270

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00237
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154923001
TX
05
154923002
TX
Enumeration date
10/15/2007
Last updated
01/12/2009
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