Lyle Thorstenson MD
Lyle Thorstenson MD is an Ambulatory Surgical Clinic/Center in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
3302 NE Stallings DrNacogdoches, TX 75965-8727
Phone: (936) 564-2411
Fax: (936) 564-1280
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Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 000273 (TX) |
|---|
Record details
| NPI number | 1134236714 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Thorstenson — Administrator · (936) 564-2411 |
| Other names | Thorstenson Eye Clinic Surgery Center |
| NPI enumerated | August 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 632020, Nacogdoches, TX 75963-2020 |
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