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Individual

EGON LYTTLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 689-4089
Mailing address
2716 BAGBY ST, HOUSTON, TX 77006-2204
(832) 366-4263

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147248
TX

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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