P Praxis·MD
● Active Type 1 · Individual

MR. John Brett Dietze, MD

Neurological Surgery·Texarkana, TX· NPI 1588665319 · Enumerated 2005 · 20 years on NPI
Dietze is 1 of 8 neurological surgery providers in Texarkana and 1 of 947 in Texas.
NPI age
20 years
Enumerated 2005-08-02
Primary specialty
Neurological Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 947 active neurological surgery providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
2602 Saint Michael Dr Ste 302b
Texarkana, TX 755035228
📞 9037944196fax 9036145169
Mailing address
P O Box 9600, Dept 09-019
Texarkana, TX 755059600
📞 9037944196fax 9037927408

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1002 Texas Blvd, Suite 406
Texarkana, TX 755015113
📞 9037944196fax 9037927408

Specialties

  • Neurological Surgery Primary
    A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
    TX license #K2152 taxonomy 207T00000X

Identifiers

TypeValueNotes
01 (TX) 1G1885 MEDICARE
01 141100101 INDIGENT HEALTH CARE
01 (AR) 18796000000 QUALCHOICE OF ARKANSAS
01 (TX) 98601 COLLUM & CARNEY CLINIC
01 (AR) 98601 BLUE CROSS
01 179117500 US DEPT OF LABOR
01 (TX) 1871793307 CIGNA DME
01 (TX) 8A0896 BLUE CROSS
01 (TX) 140006859 RAILROAD MEDICARE
05 (TX) 141100101
05 (AR) 142238001
05 (OK) 200023040A
01 (TX) 5575000001 CIGNA GOVERNMENT SERVICES
01 (TX) MDK2152 WORKERS' COMPENSATION
01 98601 FIRST PYRAMID LIFE

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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