Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | D6804 | TX |
NPI | 1033299326 |
---|---|
Provider Name | James O Lindsey |
First Address | Austin, TX 78701-1149 |
Second Address | Austin, TX 78701-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D6804 | LICENSE (01) | TX |