Healthcare Provider Details

I. General information

NPI: 1699206011
Provider Name (Legal Business Name): LYOS PLASTIC SURGERY & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 03/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9230 KATY FWY SUITE 420
HOUSTON TX
77055-7469
US

IV. Provider business mailing address

9230 KATY FWY SUITE 420
HOUSTON TX
77055-7469
US

V. Phone/Fax

Practice location:
  • Phone: 713-799-8989
  • Fax: 713-799-9115
Mailing address:
  • Phone: 713-799-8989
  • Fax: 713-799-9115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW LYOS
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 713-799-8989