Lydia F. Owen-Wyatt in Dallas - Physician Assistant

Lydia F. Owen-Wyatt - NPI 1689657132

Lydia F. Owen-Wyatt is a Physician Assistant in Dallas, Texas. Lydia F. Owen-Wyatt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lydia F. Owen-Wyatt is 1689657132. The last update date is 2009-09-03.

Lydia F. Owen-Wyatt's current location address is 3310 Live Oak St Fl 3, Dallas, Texas. You can contact this provider via phone number 2142661257 and fax number 2142661258. The mailing address for Lydia F. Owen-Wyatt is 3310 Live Oak St Fl 3, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lydia F. Owen-Wyatt
Address 3310 Live Oak St Fl 3, Dallas, Texas
Phone Number 2142661257
Fax Number 2142661258
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1689657132
Provider Enumeration Date 2005-11-29
Last Updated Date 2009-09-03

Provider Mailing Address Detail

Address 3310 Live Oak St Fl 3
City Dallas
State Texas (TX)
Post Code 752046153
Phone Number 2142661257
Fax Number 2142661258

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA00528
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60359902 TX --
60359904 TX --
60359907 TX --
P00049546 RAILROAD MEDICARE
60359905 TX --
60359906 TX --
8N4424 TX BLUE CROSS BLUE SHIELD
60359903 TX --

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FAQs about Lydia F. Owen-Wyatt

What is the Lydia F. Owen-Wyatt's unique identification number?

The Lydia F. Owen-Wyatt has been assigned the NPI (National Provider Identifier) Number 1689657132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Lydia F. Owen-Wyatt is physically located?

The Lydia F. Owen-Wyatt is situated at the following address: 3310 Live Oak St Fl 3, Dallas, TX 752046153.

What is Lydia F. Owen-Wyatt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lydia F. Owen-Wyatt is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Lydia F. Owen-Wyatt receive its 1689657132 assignment?

The Lydia F. Owen-Wyatt was assigned its 1689657132 on 2005-11-29, which is the date when this unique identifier was issued to the organization.

When was the information regarding Lydia F. Owen-Wyatt most recently updated?

The details pertaining to the Lydia F. Owen-Wyatt, including its address, specialty, and other relevant information, were last refreshed on 2009-09-03.

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