National Provider Identifier Database

MAYNARD C DYSON, MD – NPI #1619988763
Pediatric Pulmonology

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.


Contact Information

MAYNARD C DYSON, MD
1500 COOPER ST
FORT WORTH, TX76104-2710
Phone: 682-885-6299
Fax: 682-885-1090
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X

* Indicates primary specialty

NPI Profile & details for MAYNARD C DYSON

NPI Number 1619988763
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 04/03/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • TX License #: H9069
  • TX Medicaid: 136186712
  • TX Medicaid: 136186714
  • TX Medicaid: 140442845
  • TX Other: 4613484 AETNA PIN
  • TX Other: 10028696 AMERIGROUP PIN
  • TX Other: 00U87Z BCBSTX GRP PIN
  • TX Other: 89V243 BCBSTX IND PIN
  • TX Other: 1485631 CIGNA PIN
  • TX Other: 136186713 CSHCN
  • TX Other: 136186715 CSHCN
  • TX Other: 112070100 FIRSTCARE PIN
  • TX Other: 1640370 FIRSTHEALTH PIN
  • TX Other: 386710 GREAT WEST PIN
  • TX Other: 62741133 MULTIPLAN PIN
  • TX Other: 413449 PHCS PIN
  • TX Other: 109539 SUPERIOR PIN
  • TX Other: 1392667 UHC PIN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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