Organization
WEST TEXAS REGENERATIVE MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH E DYER MD (OWNER-PROVIDER)
(806) 367-8719
Entity
Organization
Contact information
Practice address
1701 5TH AVE, STE A, CANYON, TX 79015-3834
(806) 655-4878
(806) 655-8790
Mailing address
3501 S SONCY, STE 1001, AMARILLO, TX 79119-3834
(806) 367-8719
(806) 418-4329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K5914
TX
Other
Enumeration date
02/19/2012
Last updated
07/17/2013
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