Dyson, Maynard C

Dyson, Maynard C is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Dyson, Maynard C can be contacted via phone (682) 885-6299.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-6299
Fax: (682) 885-1090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X H9069 Texas

Profile Details

NPI number 1619988763
LBN Legal business name Dyson, Maynard C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 3rd, 2012 - about 12 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 1619988763 NPPES
Texas Other 1392667 UHC PIN
Texas Other 1485631 UHC PIN
Texas MEDICAID 136186712 UHC PIN
Texas MEDICAID 140442845 UHC PIN
Texas Other 1640370 UHC PIN
Texas MEDICAID 136186714 UHC PIN
Texas Other 136186715 UHC PIN
Texas Other 4613484 UHC PIN
Texas Other 62741133 UHC PIN
Texas Other 00U87Z UHC PIN
Texas Other 112070100 UHC PIN
Texas Other 136186713 UHC PIN
Texas Other 386710 UHC PIN
Texas Other 413449 UHC PIN
Texas Other 10028696 UHC PIN
Texas Other 109539 UHC PIN
Texas Other 89V243 UHC PIN

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