Individual
MRS. KERI S DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1901 MEDI PARK DR STE 2, AMARILLO, TX 79106-2105
(806) 350-7918
(806) 418-8052
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA05969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y8869
BC/BS
TX
Enumeration date
09/10/2008
Last updated
03/06/2020
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