Dickinson & Wells PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00237 Issued in TX

Legal business name

DICKINSON & WELLS PLLC

Practice address

213 Scurry Street
A
Daingerfield, TX 75638-1658

Phone

(903) 645-2044

Fax

(903) 645-2270

NPI assigned

Oct 15, 2007

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Dickinson, PA-C

Title

Owner

Phone

(903) 645-2044

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Dickinson, PA-C

  • Physician Assistant
  • Daingerfield, TX
  • NPI 1447255278
  NPD (past)
• Kevin Dale Wells, PA

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1154447977
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1710176805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756380586",
            "telephone_number": "903-645-2044",
            "fax_number": "903-645-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 SCURRY STREET",
            "address_2": "A",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756381658",
            "telephone_number": "903-645-2044",
            "fax_number": "903-645-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON & WELLS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-645-2044",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154923001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154923002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Bello
• Misty Hallonquist Blalock, NP
• Lynn Bourdon, M.D.
• Brookshire Grocery Company (Brookshires Pharmacy)
• Daingerfield-Lone Star Isd
• Ronald Dickinson, PA-C
• East Texas Medical Center Gilmer
• Elitecare DME LLC
• Fannin County Hospital Authority (Capstone Healthcare of Daingerfield)
• Morgan Frost, SLP

• Medical Physician Assistant in Daingerfield, TX
• Providers in Daingerfield, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.