Provider Demographics
NPI:1346246808
Name:CIONE, DEAN A (MD, FACS)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:A
Last Name:CIONE
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 W PARKER RD
Mailing Address - Street 2:STE 436
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8125
Mailing Address - Country:US
Mailing Address - Phone:972-608-3356
Mailing Address - Fax:972-608-3360
Practice Address - Street 1:6124 W PARKER RD
Practice Address - Street 2:STE 436
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8125
Practice Address - Country:US
Practice Address - Phone:972-608-3356
Practice Address - Fax:972-608-3360
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4045208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G10865Medicare UPIN
TX0099BLMedicare PIN