Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN MICHAEL PYNE, MD
DeactivatedDR. JUSTIN MICHAEL PYNE, MD is a Facial Plastic Surgery healthcare provider located in TYLER, Texas. NPI 1639862766 is deactivated in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · TYLER, TX
This NPI has been deactivated.
The record was deactivated on January 5, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639862766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2023 (0.59289617486339 yrs)
- Last Updated
- Nov 19, 2025
- Deactivated
- Jan 5, 2024
- License
-
U6327 (TX)
Practice Information
- Address
-
2210 THREE LAKES PKWY STE 100TYLER, TX, 757030642Browse TX providers · Browse ZIP 75703
- Phone
- 9037474050
- Fax
- 9037474075
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Other Facial Plastic Surgery Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER A PERRO | MD | 1346462496 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.