Dyer, Theodore C
Dyer, Theodore C is an sole proprietor health care provider with primary practice located at 1900 Pine St Room 4653, Abilene TX 79601-2432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dyer, Theodore C can be contacted via phone (325) 670-3500.Contact Information
Primary practice address
1900 Pine St Room 4653
Abilene TX 79601-2432
Phone: (325) 670-3500
Fax: (325) 670-4773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G2949 | Texas |
Profile Details
| NPI number | 1821042391 |
|---|---|
| LBN Legal business name | Dyer, Theodore C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Sep 11th, 2014 - about 12 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 | 1821042391 | NPPES |
| Texas | Other | 123067 | SUPERIOR |
| Texas | Other | 040011721 | SUPERIOR |
| Texas | Other | 112066105 | SUPERIOR |
| Texas | Other | 0073PJ | SUPERIOR |
| Texas | MEDICAID | 126206506 | SUPERIOR |
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