Provider Demographics
NPI:1235254129
Name:LYRIC MEDICAL PA
Entity Type:Organization
Organization Name:LYRIC MEDICAL PA
Other - Org Name:PAUL K. RENTIERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:RENTIERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-956-7995
Mailing Address - Street 1:1919 NORTH LOOP W
Mailing Address - Street 2:170
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1374
Mailing Address - Country:US
Mailing Address - Phone:713-956-7995
Mailing Address - Fax:713-862-5077
Practice Address - Street 1:1919 NORTH LOOP W
Practice Address - Street 2:170
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1374
Practice Address - Country:US
Practice Address - Phone:713-956-7995
Practice Address - Fax:713-862-5077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9944174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00QW61Medicare ID - Type Unspecified
TXB25884Medicare UPIN