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NPI Code Detail

MEDICARE: LYNDAJA VIRGIL

MEDICARE: LYNDAJA VIRGIL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1407570294
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDAJA VIRGIL
Provider Business Mailing Address
First Line : 6222 W IH 10 STE 104
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-2013
Country : US
Telephone Number : 210-447-0039
Fax Number :
Provider Business Practice Location Address
First Line : 7435 HIGHWAY 6 STE F
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5135
Country : US
Telephone Number : 210-447-0039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 02/02/2026

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Directions to “ LYNDAJA VIRGIL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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