Dean, Marc Richard

Dean, Marc Richard is an individual health care provider with primary practice located at 901 Hemphill St. , Fort Worth TX 76104-3111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dean, Marc Richard can be contacted via phone (817) 332-4060.

Contact Information

Primary practice address
901 Hemphill St. Fort Worth TX 76104-3111
Phone: (817) 332-4060
Fax: (817) 332-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 201403 Louisiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X P0970 Texas

Profile Details

NPI number 1730381310
LBN Legal business name Dean, Marc Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Sep 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730381310 NPPES
Texas MEDICAID 282132402
Texas Other P01071869

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