# FREDERICK F LYKES, M D P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902170814
- **Authorized official:** DR. FREDERICK F LYKES M D P A (OWNER)
- **Authorized official phone:** (361) 575-8203

## Contact information

- **Practice address:** 303 E AIRLINE RD, SUITE 1, VICTORIA, TX 77901-3908
- **Practice address phone:** (361) 575-8203
- **Practice address fax:** (361) 575-8190
- **Mailing address:** 303 E AIRLINE RD, SUITE 1, VICTORIA, TX 77901-3908
- **Mailing address phone:** (361) 575-8203
- **Mailing address fax:** (361) 575-8190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D3550 | TX | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 02/24/2012