DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. VIRGUST JUSTICE DYKES, P.A.

Active Sole Proprietor

MR. VIRGUST JUSTICE DYKES, P.A. is a Physician Assistant healthcare provider located in WEST COLUMBIA, Texas. NPI 1386067304 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WEST COLUMBIA, TX

Registration Details

NPI Number
1386067304
Provider Type
Individual
Gender
Male
NPI Issued
Jan 27, 2014 (12.523892596035 yrs)
Last Updated
Jul 24, 2017
Licenses
PA08778 (TX)
PA08778 (TX)
Sole Proprietor
Yes

Practice Information

Address
668 W BRAZOS AVE
WEST COLUMBIA, TX, 774862616
Browse TX providers · Browse ZIP 77486
Phone
9793452525
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in WEST COLUMBIA, TX

Name Credential NPI
MS. SABRINA PHILLIPS GARRISON P.A. 1578676417
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.