Individual
ANALESA GRACE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7777 FOREST LN STE 707, DALLAS, TX 75230-2571
(972) 566-3000
(972) 566-3099
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09680
TX
Other
Enumeration date
02/16/2015
Last updated
06/04/2015
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