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Individual
DR. THEODORE C DYER
Active
Individual
DR. THEODORE C DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G2949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073PJ
BLUE CROSS
TX
01
—
040011721
RRMEDICARE
TX
01
—
112066105
FIRSTCARE
TX
01
—
123067
SUPERIOR
TX
05
—
126206506
—
TX
Enumeration date
05/20/2006
Last updated
09/11/2014
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