Individual
LYLE ERIC FREEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11803 S FREEWAY, STE 114, FT WORTH, TX 76115
(817) 551-5600
Mailing address
PO BOX 6426, FORT WORTH, TX 76115-0426
(817) 551-5600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MDG2369
TX
Other
Enumeration date
09/19/2005
Last updated
10/19/2007
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