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Individual
MAYNARD C DYSON
Active
Individual
MAYNARD C DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
H9069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
10028696
AMERIGROUP PIN
TX
01
—
109539
SUPERIOR PIN
TX
01
—
112070100
FIRSTCARE PIN
TX
05
—
136186712
—
TX
01
—
136186713
CSHCN
TX
05
—
136186714
—
TX
01
—
136186715
CSHCN
TX
01
—
1392667
UHC PIN
TX
05
—
140442845
—
TX
01
—
1485631
CIGNA PIN
TX
01
—
1640370
FIRSTHEALTH PIN
TX
01
—
386710
GREAT WEST PIN
TX
01
—
413449
PHCS PIN
TX
01
—
4613484
AETNA PIN
TX
01
—
62741133
MULTIPLAN PIN
TX
01
—
89V243
BCBSTX IND PIN
TX
Enumeration date
08/11/2006
Last updated
04/03/2012
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