MEDICARE: DR. MICHAEL LYONS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	J4316	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080109971	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4651799	OTHER	TX	AETNA
3	86320K	OTHER	TX	BCBS
4	87671Z	OTHER	TX	HMO BLUE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881688042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL LYONS DO

Provider Business Mailing Address
First Line	:	2584 STATE HIGHWAY 124
Second Line	:
City	:	WINNIE
State	:	TX
Zip	:	77665-7889
Country	:	US
Telephone Number	:	409-296-4444
Fax Number	:	409-296-4445

Provider Business Practice Location Address
First Line	:	2584 STATE HIGHWAY 124
Second Line	:
City	:	WINNIE
State	:	TX
Zip	:	77665-7889
Country	:	US
Telephone Number	:	409-296-4444
Fax Number	:	409-296-4445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	09/16/2025

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Directions to “ DR. MICHAEL LYONS DO” Practice Location

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