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NPI Code Detail

MEDICARE: DONALD MATTHEW LYNCH D.P.M.

MEDICARE: DONALD MATTHEW LYNCH D.P.M.
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
1213E00000XPodiatrist848TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
187G895OTHERTXBLUE SHIELD

General Provider Information

NPI Number : 1740241926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD MATTHEW LYNCH D.P.M.
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 254-724-2111
Fax Number :
Provider Business Practice Location Address
First Line : 2601 THORNTON LN
Second Line :
City : TEMPLE
State : TX
Zip : 76502-1808
Country : US
Telephone Number : 254-724-6622
Fax Number : 254-742-6620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 10/08/2020

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