Individual
MEGAN R LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1901 SW H K DODGEN LOOP BLDG 300, TEMPLE, TX 76502-1814
(254) 724-5437
(254) 724-7597
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102204935
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
R8232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391182801
—
TX
05
—
391182802
—
TX
Enumeration date
06/29/2012
Last updated
11/01/2021
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