Individual
DR. THOMAS EDWARD LYLES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1600 CENTRAL DR STE 155, BEDFORD, TX 76022
(817) 267-8470
(817) 267-0396
Mailing address
7610 N STEMMONS FWY, STE 600, DALLAS, TX 75247-4228
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N5819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332438601
—
TX
01
—
8DU835
BCBSTX
TX
Enumeration date
04/27/2007
Last updated
09/25/2020
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