Mark E Dickson MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H6165 Issued in TX

Legal business name

MARK E DICKSON MD PA

Practice address

3305 N Calais St
Suite 100
Sherman, TX 75090-1796

Phone

(903) 957-0016

Fax

(903) 957-0038

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Dickson, MD

Title

President

Phone

(903) 957-0016

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1912210576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 N CALAIS ST",
            "address_2": "SUITE #100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901796",
            "telephone_number": "903-957-0016",
            "fax_number": "903-957-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 N CALAIS ST",
            "address_2": "SUITE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750901796",
            "telephone_number": "903-957-0016",
            "fax_number": "903-957-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E DICKSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-957-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H6165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219531501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Edward Manukian Jr., MD
• Courtney Maple, LPC
• Mario M. Labardini, M.D., P.a.
• Mark Buckner MD PA
• Mark E Dickson MD PA
• Mark Viktor Silver PLLC
• Vanessa Marquez
• Rose M Marr, RNC NP
• Barbara Lynn Marshall
• Lori D Marshall, LCDC

• Surgery Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.