Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC2513 | TX |
NPI | 1467577643 |
---|---|
Provider Name | Dr. Darrell Lynn Lindsay |
First Address | Houston, TX 77015-2737 |
Second Address | Houston, TX 77015-2737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 08/07/2007 |