Individual
DR. THEODORE C DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 PINE ST, ROOM 4653, ABILENE, TX 79601-2432
(325) 670-3500
(325) 670-4773
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G2949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073PJ
BLUE CROSS
TX
01
—
040011721
RRMEDICARE
TX
01
—
112066105
FIRSTCARE
TX
01
—
123067
SUPERIOR
TX
05
—
126206506
—
TX
Enumeration date
05/20/2006
Last updated
09/11/2014
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