Provider Demographics
NPI:1881688042
Name:LYONS, MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:LYONS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2584 STATE HIGHWAY 124
Mailing Address - Street 2:
Mailing Address - City:WINNIE
Mailing Address - State:TX
Mailing Address - Zip Code:77665-7889
Mailing Address - Country:US
Mailing Address - Phone:409-296-4444
Mailing Address - Fax:409-296-4445
Practice Address - Street 1:2584 STATE HIGHWAY 124
Practice Address - Street 2:
Practice Address - City:WINNIE
Practice Address - State:TX
Practice Address - Zip Code:77665-7889
Practice Address - Country:US
Practice Address - Phone:409-296-4444
Practice Address - Fax:409-296-4445
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4316207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080109971OtherRAILROAD MEDICARE
TX4651799OtherAETNA
TX86320KOtherBCBS
TX87671ZOtherHMO BLUE
TX121336501Medicaid
TX87671ZOtherHMO BLUE
TX080109971OtherRAILROAD MEDICARE