Provider Demographics
NPI:1407376361
Name:LYONS-SAENZ, SKYE AMBER (CSFA)
Entity Type:Individual
Prefix:MS
First Name:SKYE
Middle Name:AMBER
Last Name:LYONS-SAENZ
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5690 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-5618
Mailing Address - Country:US
Mailing Address - Phone:214-738-9175
Mailing Address - Fax:
Practice Address - Street 1:5690 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-5618
Practice Address - Country:US
Practice Address - Phone:214-738-9175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant