Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2021-00480 | NC |
N | 208D00000X | General Practice Physician | 0102205685 | VA |
NPI | 1033643416 |
---|---|
Provider Name | Dr. Wayne Lindsay |
First Address | San Antonio, TX 78234-4504 |
Second Address | San Antonio, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2017 |
Last Update Date | 15/12/2021 |