| Dr Theodore C Dyer, MD | |
|
1900 Pine St, Room 4653, Abilene, TX 79601-2432 | |
| (325) 670-3500 | |
| (325) 670-4773 |
| Full Name | Dr Theodore C Dyer |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1900 Pine St, Abilene, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821042391 | NPI | - | NPPES |
| 123067 | Other | TX | SUPERIOR |
| 040011721 | Other | TX | RRMEDICARE |
| 112066105 | Other | TX | FIRSTCARE |
| 0073PJ | Other | TX | BLUE CROSS |
| 126206506 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | G2949 (Texas) | Primary |
| Entity Name | Hendrick Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396961322 PECOS PAC ID: 9739162181 Enrollment ID: O20040609001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore C Dyer, MD Po Box 1198, Abilene, TX 79604-1198 Ph: (325) 670-4220 | Dr Theodore C Dyer, MD 1900 Pine St, Room 4653, Abilene, TX 79601-2432 Ph: (325) 670-3500 |
Dr. Austin I King, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2217 S Danville Dr, Abilene, TX 79605 Phone: 325-695-0600 Fax: 325-695-3908 | |
Thomas Wade Cotney, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1665 Antilley Rd, Suite 180, Abilene, TX 79606 Phone: 325-695-7740 Fax: 325-695-2540 | |
Jaxon William Jordan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1233 N 18th St, Abilene, TX 79601 Phone: 325-437-3687 | |
Dr. Jeffrey Merle Braaten, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1233 N 18th St, Abilene, TX 79601 Phone: 325-437-3687 Fax: 325-437-1827 | |
Taylor Reed Tidmore, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1233 N 18th St, Abilene, TX 79601 Phone: 325-437-3687 Fax: 325-437-1827 | |
Dr. Jason Luis Acevedo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1665 Antilley Rd Ste 180, Abilene, TX 79606 Phone: 325-793-5165 Fax: 325-793-5346 |