Healthcare Provider Details

I. General information

NPI: 1518973791
Provider Name (Legal Business Name): ANNA P. LINCOLN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 KOHLERS CROSSING SUITE 310
KYLE TX
78640
US

IV. Provider business mailing address

115 KOHLERS CROSSING SUITE 310
KYLE TX
78640
US

V. Phone/Fax

Practice location:
  • Phone: 512-312-5312
  • Fax: 512-312-5313
Mailing address:
  • Phone: 512-312-5312
  • Fax: 512-312-5313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM1204
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: