Individual
LYLE A DUYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C, LSA
Contact information
Practice address
1901 MILLER RD, ROWLETT, TX 75088-5604
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
188237
TX
246ZC0007X
Surgical Assistant
Primary
SA00852
TX
363AS0400X
Surgical Physician Assistant
1005
TX
Other
Enumeration date
11/06/2006
Last updated
01/18/2023
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