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NPI Code Detail

MEDICARE: LINDSAY BASCOM

MEDICARE: LINDSAY BASCOM
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 TechnicianRBT-26-523279TX

General Provider Information

NPI Number : 1497603781
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY BASCOM
Provider Business Mailing Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ LINDSAY BASCOM ” Practice Location

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