Provider Demographics
NPI:1841410024
Name:LYLES, THOMAS EDWARD III (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EDWARD
Last Name:LYLES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:7610 N STEMMONS FWY
Mailing Address - Street 2:STE 600
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:1600 CENTRAL DR STE 155
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022
Practice Address - Country:US
Practice Address - Phone:817-267-8470
Practice Address - Fax:817-267-0396
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2020-09-25
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Provider Licenses
StateLicense IDTaxonomies
TXN5819207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX332438601Medicaid
TX8DU835OtherBCBSTX