Individual
JAMES C DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4251 SUNSET DR, SAN ANGELO, TX 76904-5653
(325) 481-2226
(325) 481-2227
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8031NQ
BCBS
TX
Enumeration date
01/29/2007
Last updated
07/22/2015
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