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Individual

ROBERT T LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4144 N CENTRAL EXPY, SUITE 360, DALLAS, TX 75204-3140
(214) 827-7460
(214) 826-6858
Mailing address
4144 N. CENTRAL EXPRESSWAY, SUITE 360, DALLAS, TX 75204-2156
(214) 827-7460
(214) 826-6858

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M1900
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
176381504
TX
01
8EH565
BCBS TX
TX
01
8EH568
BCBS TX
TX
Enumeration date
03/20/2006
Last updated
11/02/2015
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