Sandra Dickerson MD PA

NPI #1578709390 in Lubbock, Texas

Provider Information

NPI Number: 1578709390
Entity Type: Organization
Organization Name: Sandra Dickerson MD PA
Primary Specialty: Surgery
Enumeration Date: Dec 29, 2008
Last Updated: Mar 26, 2009

Practice Location

Address: 5004 FRANKFORD AVE
Address 2: SUITE 400
City: Lubbock
State: Texas
ZIP Code: 79424-1131
Phone: (806) 771-3950

Authorized Official

Name: DR. SANDRA DEE DICKERSON, MD
Title: PRESIDENT
Phone: (806) 771-3950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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