| Catherine L. Lyles Dmd Pa | |
|
13032 Nacogdoches Rd Suite 202 San Antonio TX 78217-1981 | |
| (210) 590-8858 | |
| (210) 590-4981 |
| Full Name | Catherine L. Lyles Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13032 Nacogdoches Rd, San Antonio, Texas |
| Authorized Official Name and Position | Catherine Lynn Lyles (DENTIST) |
| Authorized Official Contact | 2105908858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine L. Lyles Dmd Pa 13032 Nacogdoches Rd Suite 202 San Antonio TX 78217-1981 Ph: (210) 590-8858 | Catherine L. Lyles Dmd Pa 13032 Nacogdoches Rd Suite 202 San Antonio TX 78217-1981 Ph: (210) 590-8858 |
| NPI Number | 1922202167 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922202167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 17349 (Texas) | Primary |
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