Healthcare Provider Details
I. General information
NPI: 1750352464
Provider Name (Legal Business Name): REX L. HYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2006
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 E. LAMAR 400
ARLINGTON TX
76606
US
IV. Provider business mailing address
PO BOX 650252
DALLAS TX
75265-0252
US
V. Phone/Fax
- Phone: 888-804-3000
- Fax: 817-334-0235
- Phone: 888-804-3000
- Fax: 817-334-0235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | D7723 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: