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1588686844

NPI Code Detail

MEDICARE: MR. MATTHEW HOUSTON LYON

MEDICARE: MR. MATTHEW HOUSTON LYON

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	237600000X	Audiologist-Hearing Aid Fitter	50744	TX
2	237600000X	Audiologist-Hearing Aid Fitter	AUD2142	NM
3	231H00000X	Audiologist	50744	TX
4	231H00000X	Audiologist	AUD2142	NM

General Provider Information

NPI Number	:	1588686844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW HOUSTON LYON

Provider Business Mailing Address
First Line	:	1500 N MESA ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4019
Country	:	US
Telephone Number	:	915-532-6935
Fax Number	:	915-532-6289

Provider Business Practice Location Address
First Line	:	1500 N MESA ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-4019
Country	:	US
Telephone Number	:	915-532-6935
Fax Number	:	915-532-6289

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	01/17/2025

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Directions to “ MR. MATTHEW HOUSTON LYON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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