Individual
LYLE JAMES BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
1819 JAY ELL DR, RICHARDSON, TX 75081-1837
(888) 344-2947
(888) 694-2947
Mailing address
1819 JAY ELL DR, RICHARDSON, TX 75081-1837
(888) 344-2947
(888) 694-2947
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1336
TX
Other
Enumeration date
08/15/2006
Last updated
09/03/2019
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