Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LYDIA F. OWEN-WYATT
Active
Individual
LYDIA F. OWEN-WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060359902
—
TX
05
—
060359903
—
TX
05
—
060359904
—
TX
05
—
060359905
—
TX
05
—
060359906
—
TX
05
—
060359907
—
TX
01
—
8N4424
BLUE CROSS BLUE SHIELD
TX
01
—
P00049546
RAILROAD MEDICARE
—
Enumeration date
11/29/2005
Last updated
09/03/2009
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