MEDICARE: MARK ANDREW LINDEMANN DO

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	207R00000X	Internal Medicine Physician	L4534	TX
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	L4534	TX

General Provider Information

NPI Number	:	1295776391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ANDREW LINDEMANN DO

Provider Business Mailing Address
First Line	:	PO BOX 163524
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76161-3524
Country	:	US
Telephone Number	:	817-763-8300
Fax Number	:	817-377-9486

Provider Business Practice Location Address
First Line	:	4545 BELLAIRE DR S
Second Line	:	SUITE 9
City	:	FORT WORTH
State	:	TX
Zip	:	76109-1889
Country	:	US
Telephone Number	:	817-763-8300
Fax Number	:	817-377-9486

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/02/2025

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