Dickens, David R

Dickens, David R is an sole proprietor health care provider with primary practice located at 3901 E Stan Schlueter Loop Ste 202 , Killeen TX 76542-4554. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Dickens, David R can be contacted via phone (254) 634-4244.

Contact Information

Primary practice address
3901 E Stan Schlueter Loop Ste 202 Killeen TX 76542-4554
Phone: (254) 634-4244
Fax: (254) 634-8809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 508035 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X AP102066 Texas

Profile Details

NPI number 1295764652
LBN Legal business name Dickens, David R
Credentials CNS-P/MH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Oct 26th, 2021 - about 4 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 1295764652 NPPES
Texas MEDICAID 096202902

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