Individual
DR. JOHN S DRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 KELL, SUITE 200, WICHITA FALLS, TX 76310-1612
(940) 689-8765
(940) 689-8769
Mailing address
5500 KELL BLVD, SUITE 200, WICHITA FALLS, TX 76310-1612
(940) 689-8765
(940) 689-8769
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
E8446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243510001
MEDICARE DME, PALMETTO
TX
05
—
103595803
—
TX
01
—
8AT661
BLUE CROSS & BLUE SHIELD
TX
01
—
P00474272
RAILROAD MEDICARE
TX
Enumeration date
01/06/2006
Last updated
06/10/2008
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