Provider Demographics
NPI:1164445839
Name:LAMBERT, CYRUS T (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:T
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1720 COMMERCE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-6710
Mailing Address - Country:US
Mailing Address - Phone:972-205-3727
Mailing Address - Fax:972-205-3444
Practice Address - Street 1:1720 COMMERCE ST
Practice Address - Street 2:SUITE B
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-6710
Practice Address - Country:US
Practice Address - Phone:972-205-3727
Practice Address - Fax:972-205-3444
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE1009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00055943OtherRR MEDICARE
TX128798904Medicaid
TXP00055943OtherRR MEDICARE
TX128798904Medicaid