Efrain Oscar Dickson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G6800 Issued in TX

Practice address

2202 Morgan Ave
Corpus Christi, TX 78405-1909

Phone

(361) 884-3966

Fax

(361) 884-1842

NPI assigned

Jul 12, 2006

Reactivated

Oct 17, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corpus Family Practice PLLC

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1780224857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1235164526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051909",
            "telephone_number": "361-884-3966",
            "fax_number": "361-884-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051909",
            "telephone_number": "361-884-3966",
            "fax_number": "361-884-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "EFRAIN",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-10-17",
        "deactivation_date": "2019-08-12",
        "reactivation_date": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G6800",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115219101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Fabricio Diaz, M.D.
• San Juanita Diaz, MS, LPC
• Madison Elaine Dibble, RPH
• Dickson Hearing Center
• Christian M Dickson, DPM
• George H Dickson
• Maureen Michelle Diegel, PTA
• Okiemute Diejomaoh
• Kenda J. Dietrich, LPC, LPA
• Thomas Russell Dietze, M.D.

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.