Provider Demographics
NPI:1255394094
Name:LEAR, KYE BURTON (MD)
Entity type:Individual
Prefix:DR
First Name:KYE
Middle Name:BURTON
Last Name:LEAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1314
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:5915 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-3673
Practice Address - Country:US
Practice Address - Phone:806-794-3000
Practice Address - Fax:806-698-0702
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100198100OtherFIRSTCARE
NM000S3028Medicaid
TX8A8551OtherBLUE CROSS BLUE SHIELD
NM000S3028Medicaid
TXB24283Medicare UPIN