Doctor Name: | DR. THOMAS W. LYLES |
NPI Number: | 1407875248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C5153 |
Business Practice Address: | 1038 S Fleishel Ave Tyler, TX - 757012044 |
Business Phone Number: | 9035939474 |
Business Fax Number: | |
Mailing Address: | 1038 S Fleishel Ave, TYLER |
State: | TX |
Postal Code: | 757012044 |
Phone Number: | 9035939474 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 09/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C5153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |