Individual
PHILIP DENNIS DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 NORTHLAND DR, SUITE 301, AUSTIN, TX 78731-4945
(512) 458-9191
Mailing address
3303 NORTHLAND DR, SUITE 301, AUSTIN, TX 78731-4945
(512) 458-9191
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H9625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032HS
BCBS RR,TX
TX
01
—
00N24T
BCBS ATX GROUP
TX
01
—
030005345
RAILROAD MCARE
TX
01
—
84430S
BCBS AUSTIN,TX
TX
01
—
8F6356
BCBS RR,TX GROUP
TX
Enumeration date
04/12/2007
Last updated
05/20/2013
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