Provider Demographics
NPI:1396988101
Name:D. LYNN DICKENS, M.D., P.A.
Entity type:Organization
Organization Name:D. LYNN DICKENS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:D.
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-379-8200
Mailing Address - Street 1:950 THREADNEEDLE ST
Mailing Address - Street 2:160
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2925
Mailing Address - Country:US
Mailing Address - Phone:832-379-8200
Mailing Address - Fax:832-379-8201
Practice Address - Street 1:950 THREADNEEDLE ST
Practice Address - Street 2:160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2925
Practice Address - Country:US
Practice Address - Phone:832-379-8200
Practice Address - Fax:832-379-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty