LYDIA F. OWEN-WYATT PA-C NPI 1689657132

NPI Information

  • NPI: 1689657132
  • Provider Name: LYDIA F. OWEN-WYATT, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3310 LIVE OAK ST FL 3
    YOUTH & FAMILY CENTER
    DALLAS, TX
    ZIP 75204
  • Phone: (214) 266-1257

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NPI Details

Lydia F. Owen-wyatt, PA-C is a physician assistant in Dallas, TX with 32 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Lydia F. Owen-wyatt, PA-C NPI is 1689657132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3310 LIVE OAK ST FL 3
YOUTH & FAMILY CENTER
DALLAS, TX
ZIP 75204-153
Phone: (214) 266-1257
Fax: (214) 266-1258

The NPI 1689657132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2005 and was last updated on 9/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA00528TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1060359907MEDICAIDTEXAS
28L12653MEDICARE PINTEXAS
38N4424OTHERTEXASBLUE CROSS BLUE SHIELD
4060359905MEDICAIDTEXAS
5060359903MEDICAIDTEXAS
682N827MEDICARE PIN
7060359902MEDICAIDTEXAS
8S82352MEDICARE UPINTEXAS
9060359906MEDICAIDTEXAS
10P00049546OTHERRAILROAD MEDICARE
11060359904MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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