Dr. Linda Jean Royall
Dermatologist
19222 Stonehue Ste 103
San Antonio
, Texas 78258-3454
Dr. Linda Jean Royall
Dermatologist
19222 Stonehue Ste 103
San Antonio
, Texas 78258-3454
(903) 939-0755
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Linda Jean Royall
- 1367 Dominion Plz
- Tyler, TX
- Zip : 75703-1013
- Fax : (903) 939-0755
- Phone : (903) 564-6200
Second Address
- Dr. Linda Jean Royall
- 19222 Stonehue Ste 103
- San Antonio, TX
- Zip : 78258-3454
- Fax : (210) 497-1502
- Phone : (210) 497-1475
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G4925 | TX |
National Provider Identifier
| NPI | 1023011723 |
|---|---|
| Provider Name | Dr. Linda Jean Royall |
| First Address | Tyler, TX 75703-1013 |
| Second Address | San Antonio, TX 78258-3454 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2005 |
| Last Update Date | 04/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8FB111 | BCBS PV# (01) | TX |
| C14589 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.