Dyer, Andrea

Dyer, Andrea is an sole proprietor health care provider with primary practice located at 15138 Corona Del Mar Dr Unit A , Houston TX 77083-4308. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as her primary health care specialty. Dyer, Andrea can be contacted via phone (281) 675-5675.

Contact Information

Primary practice address
15138 Corona Del Mar Dr Unit A Houston TX 77083-4308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1649628033
LBN Legal business name Dyer, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2016
Last updated Jul 21st, 2022 - about 3 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 1649628033 NPPES
Texas MEDICAID 1871044925

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