Provider Demographics
NPI:1669425708
Name:PARET, DEAN KEVIN (PHD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:KEVIN
Last Name:PARET
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-8800
Mailing Address - Fax:
Practice Address - Street 1:3801 SCOTT AND WHITE DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5252
Practice Address - Country:US
Practice Address - Phone:254-680-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000344028581106H00000X
TX25212103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134268503Medicaid
TX86263AOtherBCBS
TX86351AOtherBCBS
TX134268507Medicaid
TX86806POtherBCBS
TX134268501Medicaid
TX86366AOtherBCBS
TX134268504Medicaid
TX134268505Medicaid
TX82603POtherBCBS
TX134268506Medicaid
TX00U02PMedicare PIN
TX620005238Medicare PIN
TX134268506Medicaid
TX134268501Medicaid
TX620005568Medicare PIN
TX134268507Medicaid
TX82806PMedicare PIN
TX134268504Medicaid
TX8C9180Medicare PIN