MEDICARE: MR. RONALD G LINDSAY PTA

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	225200000X	Physical Therapy Assistant	2037778	TX

General Provider Information

NPI Number	:	1295937274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RONALD G LINDSAY PTA

Provider Business Mailing Address
First Line	:	2626 DUNCANVILLE RD
Second Line	:	APT # 2058
City	:	DALLAS
State	:	TX
Zip	:	75211-7401
Country	:	US
Telephone Number	:	512-228-4179
Fax Number	:

Provider Business Practice Location Address
First Line	:	2918 DUNCANVILLE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75211-7407
Country	:	US
Telephone Number	:	512-228-4179
Fax Number	:

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

Provider Enumeration Date	:	06/03/2007
Last Update Date	:	07/08/2007

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