Individual
KAREN DELANE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1675 REPUBLIC PKWY, STE 201, MESQUITE, TX 75150-6902
(972) 672-8484
(972) 692-8227
Mailing address
1675 REPUBLIC PKWY, STE 201, MESQUITE, TX 75150-6902
(972) 850-9179
(877) 720-5614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J4083
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J4083
TX
Other
Enumeration date
11/22/2005
Last updated
03/30/2021
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