VICTOR I LYDAY MD PA
Medical Practice at Mccullough Ave, San Antonio, TX

License number
Texas D9954
Category
Medical Practice
Type
Hand Surgery
Owner
Name: DR. VICTOR I LYDAY MD
Title: PRESIDENT
Phone: (210) 224-2639
Address
Address
1303 Mccullough Ave SUITE 361, San Antonio, TX 78212
National Provider ID: 1376820506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VICTOR I. LYDAY, M.D., PA

1303 Mccullough Ave STE 361, San Antonio, TX 78212

Doing business as:
Victor I'. Lyday, M.D., PA<br>Victor I’. Lyday, M.D., PA
Registration:
Nov 1, 1977
State ID:
0080374903
Business type:
Professional Association
President , Treasurer , Secretary , Director , Member , Vice-President:
Victor I. Lyday (President , Treasurer , Secretary , Director , Member , Vice-President)
Agent:
Victor I Lyday,1303 Mccullough STE 361, San Antonio, TX 78212 (Physical)
TIN:
32036052747

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