Organization
CAROLYN B LYDE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN B LYDE M.D. (OWNER)
(972) 436-0358
Entity
Organization
Contact information
Practice address
324 W MAIN STREET, SUITE 200, LEWISVILLE, TX 75057-3641
(972) 436-0358
(972) 353-3750
Mailing address
324 W MAIN STREET, SUITE 200, LEWISVILLE, TX 75057-3641
(972) 436-0358
(972) 353-3750
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
H0585
TX
Other
Enumeration date
05/31/2006
Last updated
07/26/2010
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