Dyer, Gawain
Dyer, Gawain is an individual health care provider with primary practice located at 800 Mccullough Ave , San Antonio TX 78215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dyer, Gawain can be contacted via phone (210) 226-6169.Contact Information
Primary practice address
800 Mccullough Ave
San Antonio TX 78215
Phone: (210) 226-6169
Fax: (210) 226-8365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | Q2275 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Q2275 | Texas |
Profile Details
| NPI number | 1427286137 |
|---|---|
| LBN Legal business name | Dyer, Gawain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Aug 9th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427286137 | NPPES |
| Texas | MEDICAID | 344423401 |
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