Individual
TIMOTHY STUART LYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 N HOUSTON AVE, SUITE C, NEW BRAUNFELS, TX 78130-4132
(830) 620-4540
(830) 620-4991
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
H7080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123452806
—
TX
01
—
1G7419
MEDICARE
TX
Enumeration date
06/22/2006
Last updated
04/28/2021
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