Individual
DR. KOURTNEY ANN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 S FM 51 STE 300, DECATUR, TX 76234-3864
(940) 600-5799
(940) 600-5796
Mailing address
1850 LAKEPOINTE DR STE 200, LEWISVILLE, TX 75057-3661
(972) 436-5040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
S5365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10057568
PHYSICIAN IN TRAINING PERMIT
TX
Enumeration date
05/31/2016
Last updated
01/13/2023
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