Individual
GAWAIN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215
(210) 226-6169
(210) 226-8365
Mailing address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q2275
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Q2275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344423401
—
TX
Enumeration date
07/01/2009
Last updated
08/09/2018
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