Individual
ROB D DICKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., PH.D.
Contact information
Practice address
5575 FRISCO SQUARE BLVD STE 110, FRISCO, TX 75034-3309
(972) 238-0512
(972) 378-6925
Mailing address
5575 FRISCO SQUARE BLVD STE 110, FRISCO, TX 75034-3309
(972) 238-0512
(972) 378-6925
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
L9174
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
L9174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X058
MEDICARE GROUP
TX
Enumeration date
07/24/2006
Last updated
02/10/2023
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