Healthcare Provider Details

I. General information

NPI: 1225359235
Provider Name (Legal Business Name): LINDSEY ELIZABETH TIJERINA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY ELIZABETH STYLES M.D.

II. Dates (important events)

Enumeration Date: 06/14/2010
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 W. MILAM ST STE. 311
WHARTON TX
77488
US

IV. Provider business mailing address

PO BOX 15
WHARTON TX
77488-0015
US

V. Phone/Fax

Practice location:
  • Phone: 979-557-2777
  • Fax: 979-557-2799
Mailing address:
  • Phone: 979-557-2777
  • Fax: 979-557-2799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberP1234
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP1234
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: