Healthcare Provider Details

I. General information

NPI: 1265009716
Provider Name (Legal Business Name): LYNDSEY ESTRADA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E WALLACE ST
SAN SABA TX
76877-3524
US

IV. Provider business mailing address

PO BOX 844658
DALLAS TX
75284-4658
US

V. Phone/Fax

Practice location:
  • Phone: 325-372-5163
  • Fax: 325-372-3988
Mailing address:
  • Phone: 800-994-0371
  • Fax: 254-215-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberU1890
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: