Dyer, Gawain

Dyer, Gawain is an individual health care provider with primary practice located at 800 Mccullough Ave , San Antonio TX 78215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dyer, Gawain can be contacted via phone (210) 226-6169.

Contact Information

Primary practice address
800 Mccullough Ave San Antonio TX 78215
Fax: (210) 226-8365
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X Q2275 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Q2275 Texas

Profile Details

NPI number 1427286137
LBN Legal business name Dyer, Gawain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Aug 9th, 2018 - about 6 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 1427286137 NPPES
Texas MEDICAID 344423401

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