MEDICARE: DR. WILLIAM CARTER LINDENFIELD DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	14481	TX

General Provider Information

NPI Number	:	1831798883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM CARTER LINDENFIELD DC

Provider Business Mailing Address
First Line	:	204 N PENELOPE ST STE C
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-3127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2104 N AUSTIN AVE
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-4511
Country	:	US
Telephone Number	:	512-556-0211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	04/27/2021

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