Jacob Dickson, BSIONM
Jacob Dickson, BSIONM is an Electroneurodiagnostic Specialist/Technologist in Ft Worth, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
111 Boland St Ste 211Ft Worth, TX 76107-1265
Phone: (817) 529-8488
Fax: (903) 328-6568
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Specialties & licences
| Electroneurodiagnostic Specialist/Technologist (primary) | Taxonomy 246ZE0600X |
|---|
Record details
| NPI number | 1972104826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | BSIONM |
| Sole proprietor | No |
| NPI enumerated | November 6, 2020 |
| Last updated in NPPES | November 6, 2020 |
| Certification date | November 6, 2020 |
| Mailing address | 111 Boland St Ste 211, Ft Worth, TX 76107-1265 |
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