Lyle James Blaylock in Richardson - Electroneurodiagnostic

Lyle James Blaylock - NPI 1740393974

Lyle James Blaylock is a Electroneurodiagnostic in Richardson, Texas. Lyle James Blaylock practices all healthcare services and medical treatments related to Electroneurodiagnostic. The NPI Number for Lyle James Blaylock is 1740393974. The last update date is 2019-09-03.

Lyle James Blaylock's current location address is 1819 Jay Ell Dr, Richardson, Texas. You can contact this provider via phone number 8883442947 and fax number 8886942947. The mailing address for Lyle James Blaylock is 1819 Jay Ell Dr, Richardson, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lyle James Blaylock
Address 1819 Jay Ell Dr, Richardson, Texas
Phone Number 8883442947
Fax Number 8886942947
Sole Proprietor Y
Credentials CNIM

NPI Number Detail

NPI Number 1740393974
Provider Enumeration Date 2006-08-15
Last Updated Date 2019-09-03

Provider Mailing Address Detail

Address 1819 Jay Ell Dr
City Richardson
State Texas (TX)
Post Code 750811837
Phone Number 8883442947
Fax Number 8886942947

Provider's Primary Taxonomy Detail

Speciality Electroneurodiagnostic
Taxonomy 246Ze0600X
Licence No 1336
Definition:
Performs electrodiagnostic tests to record electrical activity from nerves and muscles.

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FAQs about Lyle James Blaylock

What is the unique identifier code issued to Lyle James Blaylock by the Centers for Medicare & Medicaid Services (CMS)?

The Lyle James Blaylock has been assigned the NPI (National Provider Identifier) 1740393974. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Lyle James Blaylock's facilities are situated?

The facilities of Lyle James Blaylock are physically located at the following address: 1819 Jay Ell Dr, Richardson, TX, 750811837.

What is Lyle James Blaylock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lyle James Blaylock is Electroneurodiagnostic, and the taxonomy code that classifies this field of practice is 246Ze0600X.

On what date did the Lyle James Blaylock receive its 1740393974 assignment from the Centers for Medicare & Medicaid Services?

The Lyle James Blaylock was assigned its 1740393974 by the Centers for Medicare & Medicaid Services on 2006-08-15.

As of what date were the Lyle James Blaylock's details last updated?

The information pertaining to the Lyle James Blaylock, including its address, specialty, and other details, was most recently updated on 2019-09-03.

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