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Individual
LYLE L. BROWN
Active
Individual
LYLE L. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E5017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116097006
—
TX
05
—
116097007
—
TX
01
—
75260358175090D019
TRICARE
TX
01
—
8A9266
BLUE CROSS BLUE SHIELD
TX
01
—
8BZ666
BLUE CROSS BLUE SHIELD
TX
01
—
P00185417
RAILROAD MEDICARE
TX
01
—
P00708949
RAILROAD MEDICARE
TX
Enumeration date
07/13/2006
Last updated
12/03/2018
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