Individual
DR. ERIK LYSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 E PFLUGERVILLE PKWY STE 100, PFLUGERVILLE, TX 78660-5999
(512) 654-6100
(512) 654-6101
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CDR.0001960
CO
207Q00000X
Family Medicine Physician
MD60652453
WA
207Q00000X
Family Medicine Physician
Primary
T5760
TX
208M00000X
Hospitalist Physician
MD60652453
WA
Other
Enumeration date
06/08/2011
Last updated
04/03/2024
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