Theodore C. Dyer, M.D., P.a.

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

G2949 Issued in TX

Legal business name

THEODORE C. DYER, M.D., P.A.

Practice address

1904 Pine St
Suite 200
Abilene, TX 79601-2449

Phone

(325) 676-0557

Fax

(866) 673-1339

NPI assigned

Mar 23, 2007

Last updated

Jun 20, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thedore C. Dyer, M.D.

Title

President

Phone

(325) 676-0557

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1649397977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PINE ST",
            "address_2": "SUITE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012449",
            "telephone_number": "325-676-0557",
            "fax_number": "866-673-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PINE ST",
            "address_2": "SUITE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012449",
            "telephone_number": "325-676-0557",
            "fax_number": "866-673-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE C. DYER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "THEDORE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-676-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TX",
            "license": "G2949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126206506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The West Texas Rehabilitation Center
• The West Texas Rehabilitation Center
• The West Texas Rehabilitation Center (Rehab Home Medical)
• The West Texas Rehabilitation Center (Hospice of the Big Country)
• The West Texas Rehabilitation Center
• Theracare Services, LLC
• Therapy Abilene, PLLC
• Justin Wallace Thiberville, OTR
• Sunnie Jo Thiberville, RN, MSN, FNP-C
• Destanee Thomae, APRN FNP

• Pediatric Otolaryngology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Pediatric Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.