Provider Demographics
NPI:1205363157
Name:LYLE HASKELL DPM PLLC
Entity Type:Organization
Organization Name:LYLE HASKELL DPM PLLC
Other - Org Name:NORTH TEXAS FOOT GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYLE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:HASKELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:972-727-7060
Mailing Address - Street 1:1105 CENTRAL EXPY N STE 220
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6102
Mailing Address - Country:US
Mailing Address - Phone:972-727-7060
Mailing Address - Fax:
Practice Address - Street 1:1105 CENTRAL EXPY N STE 220
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6102
Practice Address - Country:US
Practice Address - Phone:972-727-7060
Practice Address - Fax:972-727-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX979213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty