Organization
MARK E DICKSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E DICKSON MD (PRESIDENT)
(903) 957-0016
Entity
Organization
Contact information
Practice address
3305 N CALAIS ST, SUITE 100, SHERMAN, TX 75090-1796
(903) 957-0016
(903) 957-0038
Mailing address
3305 N CALAIS ST, SUITE #100, SHERMAN, TX 75090-1796
(903) 957-0016
(903) 957-0038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H6165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219531501
—
TX
Enumeration date
07/23/2010
Last updated
10/05/2011
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