MAYNARD C DYSON MD NPI 1619988763

NPI Information

NPI: 1619988763
Provider Name: MAYNARD C DYSON, MD
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-6299
Get Directions

Maynard C Dyson, MD is a pediatric pulmonology pediatrics in Fort Worth, TX. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Maynard C Dyson, MD NPI is 1619988763. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 COOPER ST
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-6299
Fax: (682) 885-1090

The NPI 1619988763 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 4/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0214X	Pediatrics	Pediatric Pulmonology	H9069	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89V243	OTHER	TEXAS	BCBSTX IND PIN
2	00U87Z	OTHER	TEXAS	BCBSTX GRP PIN
3	136186713	OTHER	TEXAS	CSHCN
4	B60924	MEDICARE UPIN
5	112070100	OTHER	TEXAS	FIRSTCARE PIN
6	136186714	MEDICAID	TEXAS
7	140442845	MEDICAID	TEXAS
8	62741133	OTHER	TEXAS	MULTIPLAN PIN
9	413449	OTHER	TEXAS	PHCS PIN
10	109539	OTHER	TEXAS	SUPERIOR PIN
11	1640370	OTHER	TEXAS	FIRSTHEALTH PIN
12	386710	OTHER	TEXAS	GREAT WEST PIN
13	4613484	OTHER	TEXAS	AETNA PIN
14	1392667	OTHER	TEXAS	UHC PIN
15	136186712	MEDICAID	TEXAS
16	10028696	OTHER	TEXAS	AMERIGROUP PIN
17	136186715	OTHER	TEXAS	CSHCN
18	1485631	OTHER	TEXAS	CIGNA PIN
19	8L20078	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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