O Joseph Dean Jr MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

J9656 Issued in TX

Legal business name

O JOSEPH DEAN JR MD PA

Practice address

302 Medical Park Dr
Ste 104
Lufkin, TX 75904-3148

Phone

(936) 634-8765

Fax

(936) 639-4258

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Odell Joseph Dean Jr., MD

Title

President/Owner

Phone

(936) 634-8765

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1679802128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "STE 104",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043148",
            "telephone_number": "936-634-8765",
            "fax_number": "936-639-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "STE 104",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043148",
            "telephone_number": "936-634-8765",
            "fax_number": "936-639-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O JOSEPH DEAN JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ODELL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "936-634-8765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "J9656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089919702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.