Basic Information
| Provider Information | |||||||||
| NPI: | 1477865079 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHRIS W. DYER, DO PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5604 SUNDANCE DR | ||||||||
| Address2: | |||||||||
| City: | THE COLONY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750563846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726687460 | ||||||||
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| Practice Location | |||||||||
| Address1: | 927 IRONWOOD DR | ||||||||
| Address2: | |||||||||
| City: | DESOTO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751152127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726687460 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2010 | ||||||||
| LastUpdateDate: | 07/12/2010 | ||||||||
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| AuthorizedOfficialLastName: | DYER | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9726687460 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | L3629 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.