Individual
LAURIE NIX DYKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 620-4098
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
(713) 620-4098
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N3017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206775301
—
TX
01
—
8CD179
BLUE CROSS BLUE SHIELD
TX
01
—
P00845809
RAILROAD MEDICARE
TX
Enumeration date
12/16/2008
Last updated
03/28/2025
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