Provider Demographics
NPI:1447358684
Name:NUMBER ONE CARE PA
Entity type:Organization
Organization Name:NUMBER ONE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-351-2273
Mailing Address - Street 1:PO BOX 51199
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-1199
Mailing Address - Country:US
Mailing Address - Phone:806-351-2273
Mailing Address - Fax:806-353-4326
Practice Address - Street 1:2001 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2521
Practice Address - Country:US
Practice Address - Phone:806-351-2273
Practice Address - Fax:806-353-4326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0052HZOtherBLUE CROSS/BLUE SHIELD
TX0052HZOtherBLUE CROSS/BLUE SHIELD
TXDC8771Medicare ID - Type UnspecifiedRAILROAD MEDICARE