SANDRA DICKERSON MD PA


Address: 5004 Frankford Ave, Suite 400, Lubbock, TX 79424-1131
Phone: 8067713950

SANDRA DICKERSON MD PA (NPI# 1578709390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578709390
Entity Type Organization
Organization Name SANDRA DICKERSON MD PA
Practice Address 5004 Frankford Ave
Suite 400
Lubbock
TX 79424-1131
Mailing Address Po Box 65348
Lubbock
TX 79464-5348
Practice Telephone 8067713950
Practice Fax Number 8067714029
Mailing Telephone 8067713950
Mailing Fax Number 8067714029
Enumeration Date 2008-12-29
Last Update Date 2009-03-26
Authorized Official Name DR. SANDRA DEE DICKERSON (PRESIDENT)
Authorized Official Telephone 8067713950
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 5004 FRANKFORD AVE
SUITE 400
City LUBBOCK
State TX
Zip Code 79424-1131

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952639445 Healthscripts of America-lubbock LLC Pharmacy 5004 Frankford Ave, Ste 119, Lubbock, TX 79424-1131 2009-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376158121 West Texas H.a.n.d. Pllc Surgery 5613 114th St, Lubbock, TX 79424 2020-09-09
1811519044 H-e-b, Lp Clinical Medical Laboratory 4405 114th Street, Lubbock, TX 79424 2020-05-11
1184245573 Jim Lee Lowrance Chiropractor 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 2020-04-27
1134787377 April Denise Gardea Speech-Language Pathologist 6502 Slide Road Suite 204, Lubbock, TX 79424 2019-06-03
1215590658 April Dawn Fortner Counselor 7617 86th St., Lubbock, TX 79424 2019-04-22
1427514561 Thornhill Healthcare II, Inc. Pharmacy 6823 82nd St, Suite 600, Lubbock, TX 79424 2019-02-13
1174001358 Emily Cowell Technician, Other 6102 82nd St Ste 10, Lubbock, TX 79424 2018-07-31
1043718786 Edward Murphy Pharmacist 8702 Toledo Ave, Lubbock, TX 79424 2018-01-29
1013434364 Yung Ling Tsai Specialist/Technologist 4707 116th Street, Lubbock, TX 79424 2017-08-28
1285187237 Wter Quaker, Lp Clinic/Center 10205 Quaker Ave, Lubbock, TX 79424 2016-07-26
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093194292 John Mark Chauncey Surgery 2505 31st St, Lubbock, TX 79410-3427 2015-05-21
1346628302 Mary Scheerer Surgery 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 2015-05-11
1427324094 Brian J Norkiewicz Md Pa Surgery 3711 22nd St Ste C, Lubbock, TX 79410-1303 2012-03-28
1194968867 Rebeccah Bradshaw Baucom Surgery Texas Tech Physicians 3601 4th Street 4th Floor, Lubbock, TX 79430 2009-04-10
1427294560 Robyn Elizabeth Richmond Surgery 3601 4th St Stop 8312, Lubbock, TX 79430-8312 2008-12-19
1508038332 Eric Christopher Minns Surgery 10202 Quaker Ave, #100, Lubbock, TX 79424 2008-04-01
1316156284 Desirae M Mckee Surgery 5613 114th, Lubbock, TX 79424 2007-05-21
1821119926 Turlapati Ramamohan Rao Surgery 3809 22nd St, Suite C, Lubbock, TX 79410-1198 2007-04-03
1972661742 G. Baird Helfrich, M.d., P.a. Surgery 3606 21st Street, Suite 104, Lubbock, TX 79410 2006-12-05
1063588804 Advanced Bariatric Surgery Center Surgery 3805 22nd Pl, Lubbock, TX 79410 2006-11-24
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79424

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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