Organization
VICTOR I LYDAY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR I LYDAY MD (PRESIDENT)
(210) 224-2639
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 361, SAN ANTONIO, TX 78212-5609
(210) 224-2639
Mailing address
1303 MCCULLOUGH AVE, SUITE 361, SAN ANTONIO, TX 78212-5609
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
D9954
TX
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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