Mark Hansen Dickie, M.D.

NPI #1093763633 in Waco, Texas

Provider Information

NPI Number: 1093763633
Entity Type: Individual
Name: Mark Hansen Dickie, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 214 HALBERT LN
City: Waco
State: Texas
ZIP Code: 76705-5455
Phone: (254) 223-1154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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