Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 4473 | TX |
NPI | 1053471565 |
---|---|
Provider Name | Dr. Ronald Dean Linderman |
First Address | Waco, TX 76712-7923 |
Second Address | Waco, TX 76712-7923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T14420 | (02) | TX |