Individual provider · NPI-1

James Warren Dean, PA-C

Physician Assistant · Grand Prairie, TX

NPI number1992109078
StatusActive
Last updated in NPPESJul 6, 2021

Details

NPI
1992109078
Entity type
Individual (NPI-1)
Name
James Warren Dean
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2014
Certification date
Jul 6, 2021
Last updated
Jul 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA09636TXYes

Practice location

6923 Nava
Grand Prairie, TX 75054-5551

Phone 817-375-5200

Mailing address

6923 Nava
Grand Prairie, TX 75054-5551

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