Healthcare Provider Details

I. General information

NPI: 1942372644
Provider Name (Legal Business Name): JOE WELDON LINDLEY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 PHILFALL ST
HOUSTON TX
77098-1101
US

IV. Provider business mailing address

3002 PHILFALL ST
HOUSTON TX
77098-1101
US

V. Phone/Fax

Practice location:
  • Phone: 713-523-0770
  • Fax: 713-523-6204
Mailing address:
  • Phone: 713-523-0770
  • Fax: 713-523-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number2815
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: