Provider Demographics
NPI:1528030426
Name:DYKE, LESTER M (MD)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:M
Last Name:DYKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:956-687-1581
Mailing Address - Fax:956-687-1548
Practice Address - Street 1:1801 S 5TH ST
Practice Address - Street 2:SUITE #215
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-2927
Practice Address - Country:US
Practice Address - Phone:956-687-1581
Practice Address - Fax:956-687-1548
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6597208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122631805Medicaid
TX8DQ610OtherBCBS TX
TXE04402Medicare UPIN
TX270019YN0EMedicare PIN