Healthcare Provider Details

I. General information

NPI: 1679707475
Provider Name (Legal Business Name): LYDIA MARIE STEELMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LYDIA MARIE FARMER

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 FM 2181 SUITE 300
CORINTH TX
76210
US

IV. Provider business mailing address

3001 FM 2181 SUITE 300
CORINTH TX
76210
US

V. Phone/Fax

Practice location:
  • Phone: 940-497-4900
  • Fax: 405-573-5483
Mailing address:
  • Phone: 405-364-0555
  • Fax: 405-573-5483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29474
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: