Individual
DR. KYLE F. DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
6560 FANNIN ST, SUITE 1016, HOUSTON, TX 77030-2761
(713) 800-1080
(713) 800-1081
Mailing address
6560 FANNIN ST, SUITE 1016, HOUSTON, TX 77030-2761
(713) 800-1080
(713) 800-1081
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
N0733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843351-03
—
TX
Enumeration date
09/01/2006
Last updated
02/09/2012
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