| Mark H. Dickie, Md Pllc | |
|
782 Dry Creek Rd Waco TX 76705-5409 | |
| (254) 870-4417 | |
| (254) 230-4493 |
| Full Name | Mark H. Dickie, Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 782 Dry Creek Rd, Waco, Texas |
| Authorized Official Name and Position | Mark Dickie (OWNER) |
| Authorized Official Contact | 2548704417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H. Dickie, Md Pllc 782 Dry Creek Rd Waco TX 76705-5409 Ph: (254) 870-4417 | Mark H. Dickie, Md Pllc 782 Dry Creek Rd Waco TX 76705-5409 Ph: (254) 870-4417 |
| NPI Number | 1033930813 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Medicare PECOS PAC ID | 7113455015 |
|---|---|
| Medicare Enrollment ID | O20250106002277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033930813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Dickie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093763633 PECOS PAC ID: 4183637770 Enrollment ID: I20060727000162 |
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