Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101252827 | VA |
N | 111NI0900X | Internist | 0101252827 | VA |
Y | 207RI0200X | Infectious Disease | 0101252827 | VA |
NPI | 1023301918 |
---|---|
Provider Name | Dr. David Alton Lindholm |
First Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Second Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2011 |
Last Update Date | 22/09/2018 |