MEDICARE: JOE WELDON LINDLEY D.C.

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	111NI0900X	Internist Chiropractor	2815	TX

General Provider Information

NPI Number	:	1942372644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOE WELDON LINDLEY D.C.

Provider Business Mailing Address
First Line	:	3002 PHILFALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1101
Country	:	US
Telephone Number	:	713-523-0770
Fax Number	:	713-523-6204

Provider Business Practice Location Address
First Line	:	3002 PHILFALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1101
Country	:	US
Telephone Number	:	713-523-0770
Fax Number	:	713-523-6204

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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