CAROLYN B LYDE MD PA
Osteopathic Medicine at Main St, Lewisville, TX

License number
Texas H0585
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: CAROLYN B LYDE M.D.
Title: OWNER
Phone: (972) 436-0358
Address
Address
324 W Main St SUITE 200, Lewisville, TX 75057
National Provider ID: 1659328870
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAROLYN B. LYDE, M.D., PA

Coppell, TX  -  Lewisville, TX

Doing business as:
Carolyn B. Lyde, M.D., PA
Registration:
Jul 2, 1997
Addresses:
1084 Crk Xing, Coppell, TX 75019 (Mailing)
324 W Main St, Lewisville, TX 75057
State ID:
0081819703
Business type:
Professional Association
Director , Members:
Lyde B. Carolyn (President),Carolyn Lyde (Director , Member)
TIN:
17527124006

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