Individual
CHRISTOPHER WAYNE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
928 LIPSCOMB ST STE 100, FORT WORTH, TX 76104-3171
(817) 348-8600
Mailing address
927 IRONWOOD DR, DESOTO, TX 75115-2127
(972) 668-7460
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
L3629
TX
208VP0000X
Pain Medicine Physician
Primary
L3629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022NG
BCBS
TX
Enumeration date
06/14/2006
Last updated
09/10/2020
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