Dr S Howard Dickey Do Pa | |
10201 Highway 16 Comanche TX 76442-4462 | |
(254) 879-4900 | |
Not Available |
Full Name | Dr S Howard Dickey Do Pa |
---|---|
Speciality | Family Medicine |
Location | 10201 Highway 16, Comanche, Texas |
Authorized Official Name and Position | Stephen Howard Dickey (P.A.) |
Authorized Official Contact | 2548794900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr S Howard Dickey Do Pa Po Box 108 De Leon TX 76444-0108 Ph: (254) 879-4900 | Dr S Howard Dickey Do Pa 10201 Highway 16 Comanche TX 76442-4462 Ph: (254) 879-4900 |
NPI Number | 1497936397 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 06/18/2008 |
Medicare PECOS PAC ID | 5496769648 |
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Medicare Enrollment ID | O20060126001003 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497936397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K1416 (Texas) | Primary |
Provider Name | Stephen Dickey |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407863939 PECOS PAC ID: 5395653323 Enrollment ID: I20041108001291 |
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