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Individual

DR. RANDALL R LYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4230 GARDENDALE ST, SUITE 502, SAN ANTONIO, TX 78229-3475
(210) 593-9725
(210) 593-9714
Mailing address
4230 GARDENDALE ST, SUITE 502, SAN ANTONIO, TX 78229-3475
(210) 593-9725
(210) 593-9714

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3621
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8241BH
BCBS
Enumeration date
11/01/2006
Last updated
07/08/2007
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