Healthcare Provider Details
I. General information
NPI: 1013945682
Provider Name (Legal Business Name): LINDBERG WELLNESS CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2006
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 E SAVANNAH AVE BLDG A SUITE 201
MCALLEN TX
78503-1241
US
IV. Provider business mailing address
110 E SAVANNAH AVE BLDG A SUITE 201
MCALLEN TX
78503-1241
US
V. Phone/Fax
- Phone: 956-668-7246
- Fax: 956-668-7247
- Phone: 956-668-7246
- Fax: 956-668-7247
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | TX9290 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
FREDDY
ROMERO
Title or Position: CHIROPRACTOR/ DOCTOR
Credential: DC
Phone: 956-668-7246