MEDICARE: LYNDON F BARNWELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	K7655	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205827516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDON F BARNWELL M.D.

Provider Business Mailing Address
First Line	:	201 OAK DR S
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5676
Country	:	US
Telephone Number	:	979-334-5300
Fax Number	:	979-266-9589

Provider Business Practice Location Address
First Line	:	201 OAK DR S
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5676
Country	:	US
Telephone Number	:	979-480-0990
Fax Number	:	979-266-9589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	09/09/2025

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Directions to “ LYNDON F BARNWELL M.D.” Practice Location

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