Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | J5387 | TX |
NPI | 1003846619 |
---|---|
Provider Name | John W Lindsey |
First Address | Houston, TX 77030 |
Second Address | Houston, TX 77030-5301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 19/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132415405 | (05) | TX |
87X550 | BCBS (01) | TX |
F05328 | (02) | TX |