Individual
DR. STEVEN CHARLES DICKHAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4800 NE STALLINGS DR, SUITE 110, NACOGDOCHES, TX 75965-1249
(936) 569-9443
(936) 560-5667
Mailing address
4800 N.E. STALLINGS, SUITE 110, NACOGDOCHES, TX 75965
(936) 569-9443
(936) 560-5667
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E8435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896557-02
—
TX
01
—
751912628
TAX I.D.
TX
Enumeration date
05/04/2006
Last updated
07/10/2008
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