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NPI Code Detail

MEDICARE: DAVID LINDLEY, DO, PA

MEDICARE: DAVID LINDLEY, DO, PA
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
1208VP0014XInterventional Pain Medicine PhysicianQ4179TX

General Provider Information

NPI Number : 1932606696
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID LINDLEY, DO, PA
Provider Business Mailing Address
First Line : 2517 HIGHWAY 180 W STE B
Second Line :
City : MINERAL WELLS
State : TX
Zip : 76067-8297
Country : US
Telephone Number : 940-328-7517
Fax Number : 940-325-3002
Provider Business Practice Location Address
First Line : 909 SOUTHEAST PKWY STE 104
Second Line :
City : AZLE
State : TX
Zip : 76020-3600
Country : US
Telephone Number : 940-328-7517
Fax Number : 940-325-3002
Authorized Official
Title or Position : OWNER
Name : DAVID A LINDLEY
Credential : DO
Telephone Number : 940-328-7517
Provider Enumeration Date : 04/10/2018
Last Update Date : 04/10/2018

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Directions to “DAVID LINDLEY, DO, PA ” Practice Location

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