=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396922571
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEI-ANN LIN, M.D. P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2008
-----------------------------------------------------
Last Update Date | 01/30/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1420 WELLS BRANCH PKWY. STE. 450
-----------------------------------------------------
City | PFLUGERVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78660-3015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-251-6622
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1420 WELLS BRANCH PKWY. STE. 450
-----------------------------------------------------
City | PFLUGERVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78660-3015
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. WEI-ANN LIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 512-251-6622
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number | J0071
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------