Carolyn B Lyde MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

H0585 Issued in TX

Legal business name

CAROLYN B LYDE MD PA

Practice address

324 W Main Street
Suite 200
Lewisville, TX 75057-3641

Phone

(972) 436-0358

Fax

(972) 353-3750

NPI assigned

May 31, 2006

Last updated

Jul 26, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn B Lyde, M.D.NPI 1477594042

Title

Owner

Phone

(972) 436-0358

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn B Lyde, MD

  • Procedural Dermatology Physician
  • Lewisville, TX
  • NPI 1477594042
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1659328870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W MAIN STREET",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "972-436-0358",
            "fax_number": "972-353-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN STREET",
            "address_2": "SUITE 200",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "972-436-0358",
            "fax_number": "972-353-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN B LYDE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "LYDE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-436-0358",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "H0585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashleigh Carlton, PT, DPT
• Billy Carmack, D.C.
• Brandi Carpenter, LVN
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• Rebecca Rose Carroll, DPT
• Allyson Carson, LPC

• Procedural Dermatology Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.