institution
Lyle Thorstenson, Md
Ophthalmologic Surgery Clinic/Center in Nacogdoches, Texas
NPI 1396798955

Lyle Thorstenson, Md is a Ophthalmologic Surgery Clinic/Center based in Nacogdoches, TX and is specialized in Ophthalmologic Surgery. Lyle Thorstenson, Md practices in Nacogdoches, TX. The NPI Number for Lyle Thorstenson, Md is 1396798955 and holds a License No. F2064 (Texas).

The current practice location address for Lyle Thorstenson, Md is 3302 Ne Stallings Dr, Nacogdoches, TX and can be reached out via phone at 936-564-2411 and via fax at 936-564-1280. You can also correspond with Lyle Thorstenson, Md through the mailing address at PO BOX 632020, NACOGDOCHES, TX - 75963-2020 (mailing address contact number: 936-564-2411).

Location: 3302 Ne Stallings Dr, Nacogdoches, TX, 75963-2020
institution
Provider Profile Details
NPI Number
1396798955
Provider Name
Lyle Thorstenson, Md
Credential
Provider Entity Type
Organization
Address
3302 Ne Stallings Dr, Nacogdoches, TX, 75963-2020
Phone Number
936-564-2411
Fax Number
936-564-1280
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
P000HH693 05 TX
451159 01 TX MEDICARE
451159 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3302 Ne Stallings Dr
City
State
Zip
75965-8727
Phone Number
936-564-2411
Fax Number
936-564-1280
person
Provider Business Mailing Address Details
Address
3302 Ne Stallings Dr
City
State
Zip
75965-8727
Phone Number
936-564-2411
Fax Number
936-564-1280
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
F2064 (Texas)
Definition
Definition to come...
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