Individual
DR. LYCA FLAKE INTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 FANNIN STREET, MSB 3.151, HOUSTON, TX 77030
(713) 500-5800
(713) 500-5805
Mailing address
6431 FANNIN STREET, MSB 3.151, HOUSTON, TX 77030
(713) 500-5800
(713) 500-5805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
U6731
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2021
Last updated
10/18/2023
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