Organization Active NPI

Frederick F Lykes, M D P a

  • Medical Specialty Clinic/Center
  • Victoria, TX
National Provider Identifier
1902170814
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
D3550 Issued in TX
Legal business name
FREDERICK F LYKES, M D P A
Practice address
303 E Airline Rd
Suite 1
Victoria, TX 77901-3908
Phone
(361) 575-8203
Fax
(361) 575-8190
NPI assigned
Feb 24, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Dr. Frederick F Lykes, M D P A
Title
Owner
Phone
(361) 575-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D3550 TX Primary

Addresses

Primary practice location

303 E Airline Rd
Suite 1
Victoria, TX 77901-3908

Mailing address

303 E Airline Rd
Suite 1
Victoria, TX 77901-3908
Phone (361) 575-8203

National Provider Directory

National Provider Directory

Locations

303 E Airline Rd
Ste 1
Victoria, TX 77901
Phone (361) 575-8203

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1902170814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E AIRLINE RD",
            "address_2": "SUITE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013908",
            "telephone_number": "361-575-8203",
            "fax_number": "361-575-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E AIRLINE RD",
            "address_2": "SUITE 1",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013908",
            "telephone_number": "361-575-8203",
            "fax_number": "361-575-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK F LYKES, M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "LYKES",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-8203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D P A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "D3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.