Dickson, Mark Edward

Dickson, Mark Edward is an sole proprietor health care provider with primary practice located at 3305 N Calais St Suite # 100, Sherman TX 75090-3110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dickson, Mark Edward can be contacted via phone (903) 957-0016.

Contact Information

Primary practice address
3305 N Calais St Suite # 100 Sherman TX 75090-3110
Phone: (903) 957-0016
Fax: (903) 957-0038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H6165 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 19378 Oklahoma

Profile Details

NPI number 1134108715
LBN Legal business name Dickson, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated May 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134108715 NPPES
Oklahoma MEDICAID 100153640A
Oklahoma MEDICAID 034452501

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