Provider Demographics
NPI:1922244409
Name:DYER, FLORENCE P (NP C)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:P
Last Name:DYER
Suffix:
Gender:F
Credentials:NP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14009 OLD US HIGHWAY 59 NORTH
Mailing Address - Street 2:
Mailing Address - City:SPLENDORA
Mailing Address - State:TX
Mailing Address - Zip Code:77372
Mailing Address - Country:US
Mailing Address - Phone:832-202-9922
Mailing Address - Fax:866-234-8707
Practice Address - Street 1:14006 OLD HIGHWAY 59 N
Practice Address - Street 2:LINKED IPAS
Practice Address - City:SPLENDORA
Practice Address - State:TX
Practice Address - Zip Code:77372-6302
Practice Address - Country:US
Practice Address - Phone:806-244-7790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-057906363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health