Dryden, John S

Dryden, John S is an individual health care provider with primary practice located at 5500 Kell Suite 200, Wichita Falls TX 76310-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dryden, John S can be contacted via phone (940) 689-8765.

Contact Information

Primary practice address
5500 Kell Suite 200 Wichita Falls TX 76310-1612
Phone: (940) 689-8765
Fax: (940) 689-8769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X E8446 Texas

Profile Details

NPI number 1821076035
LBN Legal business name Dryden, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jun 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821076035 NPPES
Texas Other 8AT661 BLUE CROSS & BLUE SHIELD
Texas Other P00474272 BLUE CROSS & BLUE SHIELD
Texas Other 0243510001 BLUE CROSS & BLUE SHIELD
Texas MEDICAID 103595803 BLUE CROSS & BLUE SHIELD

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