Individual
JOHN EDWARD DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2337424
—
LA
01
—
8K7239
BLUE SHIELD
TX
01
—
P00196482
RAILROAD MEDICARE
TX
Enumeration date
01/09/2007
Last updated
09/10/2020
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