Individual
DR. ANTONIO J.N. LYKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4601 OSO PKWY, CORPUS CHRISTI, TX 78413-5270
(361) 549-6420
Mailing address
4601 OSO PKWY, CORPUS CHRISTI, TX 78413-5270
(361) 549-6420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J2171
TX
207Q00000X
Family Medicine Physician
J2171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139855409
—
TX
Enumeration date
09/20/2005
Last updated
10/09/2017
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