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Individual

DR. KEVIN L. DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
755 N 11TH ST, SUITE P3950, BEAUMONT, TX 77702-1500
(409) 892-0099
(409) 892-1911
Mailing address
755 N 11TH ST, SUITE P3950, BEAUMONT, TX 77702-1500
(409) 892-0099
(409) 892-1911

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J1967
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0417271-01
TX
01
82X592
BLUECROSS AND BLUE SHIELD
TX
Enumeration date
08/04/2005
Last updated
09/15/2011
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