Individual
SANDRA DEE DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 W INTERSTATE HWY 635 STE 130, IRVING, TX 75063-3700
(972) 579-5222
(972) 579-3900
Mailing address
PO BOX 224702, DALLAS, TX 75222-4702
(972) 579-5222
(972) 579-3900
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
J7469
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
J7469
TX
208600000X
Surgery Physician
Primary
J7469
TX
Other
Enumeration date
05/01/2006
Last updated
07/02/2020
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