Individual
DR. DIANA CAROL LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8226 DOUGLAS AVE #449, DALLAS, TX 75225
(214) 750-0801
(214) 750-0804
Mailing address
8226 DOUGLAS AVE #449, DALLAS, TX 75225
(214) 750-0801
(214) 750-0804
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D6073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03393700
DMERC
—
01
—
D6073
STATE BOARD
—
05
—
P000M1486
—
TX
Enumeration date
09/01/2006
Last updated
07/08/2007
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