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1730171802
JACK W. DYER
LUBBOCK, TX
NPI
1730171802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX H8016)
Enumeration Date
2005-08-16
Last Update Date
2020-01-10
Business Address
JACK W. DYER M.D.
3601 4TH ST
LUBBOCK, TX 79430-0002
Phone number: 806-743-2757
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Mailing Address
JACK W. DYER M.D.
PO BOX 5865
LUBBOCK, TX 79408-5865
Phone number: 806-743-2898
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