Provider Demographics
NPI:1770620239
Name:DWYER, CLAUDE VINCENT III (RT(R)(T))
Entity type:Individual
Prefix:MR
First Name:CLAUDE
Middle Name:VINCENT
Last Name:DWYER
Suffix:III
Gender:M
Credentials:RT(R)(T)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 CANAL
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627
Mailing Address - Country:US
Mailing Address - Phone:409-718-2376
Mailing Address - Fax:
Practice Address - Street 1:307 UNIVERSITY
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36688
Practice Address - Country:US
Practice Address - Phone:251-460-7160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2791172471R0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy