Individual
ANDREA DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15138 CORONA DEL MAR DR UNIT A, HOUSTON, TX 77083-4308
(281) 675-5675
Mailing address
15138 CORONA DEL MAR, UNIT A, HOUSTON, TX 77083
(281) 675-5675
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871044925
—
TX
Enumeration date
05/26/2016
Last updated
07/21/2022
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