Doctor Name: | DR. JOEL EDWARD DYER |
NPI Number: | 1629063953 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17529 |
Business Practice Address: | 2706 W Cuthbert Ave Building B, Ste. 100 Midland, TX - 797013885 |
Business Phone Number: | 4326990306 |
Business Fax Number: | |
Mailing Address: | 3405 Feldspar Ln, MIDLAND |
State: | TX |
Postal Code: | 797072404 |
Phone Number: | 4326992303 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17529 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |