Provider Demographics
NPI:1679798060
Name:P. DENNIS DYER, M.D.
Entity Type:Organization
Organization Name:P. DENNIS DYER, M.D.
Other - Org Name:ALLERGY ASSOCIATES OF ROUND ROCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-458-9191
Mailing Address - Street 1:893 NORTH IH-35
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:512-458-9191
Mailing Address - Fax:512-458-2330
Practice Address - Street 1:893 NORTH IH-35
Practice Address - Street 2:SUITE 100
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-458-9191
Practice Address - Fax:512-458-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F6356OtherBCBS RR GROUP
TX8618B6Medicare ID - Type UnspecifiedRR MCARE GROUP