LINDALE MEDICAL CLINIC, INC (NPI# 1568455673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568455673 |
| Entity Type | Organization |
| Organization Name | LINDALE MEDICAL CLINIC, INC |
| Practice Address |
206 W Hubbard St Lindale TX 75771-6215 |
| Mailing Address |
Po Box 1509 Lindale TX 75771-1509 |
| Practice Telephone | 9038823164 |
| Practice Fax Number | 9038827405 |
| Mailing Telephone | 9038823194 |
| Mailing Fax Number | 9038827405 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | MRS. SHERI R TUCKER (OFFICE MANAGER) |
| Authorized Official Telephone | 9038823194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | H0425 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | H0424 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
206 W HUBBARD ST |
| City | LINDALE |
| State | TX |
| Zip Code | 75771-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915017 | Stephanie Michelle Christian | Licensed Vocational Nurse | 1376 Bridle Path Lane, Hideaway, TX 75771 | 2019-08-01 |
| 1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
| 1891287579 | Lindale Smiles | Dentist | 120 E Centennial Boulevard, Suite 302, Lindale, TX 75771 | 2018-05-30 |
| 1801396643 | Barbara Sue Warren | Registered Nurse | 15498 County Road 4140, Lindale, TX 75771 | 2018-02-19 |
| 1568900876 | Kathryn D. Ketter Dba Snider Adult Foster Care | Custodial Care Facility | 16337 Esther Rd, Lindale, TX 75771 | 2017-02-07 |
| 1932556578 | Zenith Hospice Care Inc | Hospice Care, Community Based | 700 N Main Street, Lindale, TX 75771 | 2016-05-23 |
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1487776514 | Lindale Isd | Local Education Agency (LEA) | 402 West North St, Lindale, TX 75771 | 2007-04-06 |
| 1881745537 | B Clay Keith Dds Pa | Dentist | 410 Eagle Spirit Drive, Lindale, TX 75771 | 2007-01-16 |
| 1992873715 | Champagne Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N. Main Street, Lindale, TX 75771 | 2006-12-01 |
| Find all providers in zip 75771 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1962446898 | Anthony Dewayne Davis | Family Medicine | 1379 Brad Circle Ste A, Lindale, TX 75771 | 2006-06-14 |
| 1407822299 | Eleazar Vera Jr. | Family Medicine | 2410 S Main St, Lindale, TX 75771-7790 | 2006-02-23 |
| 1114917796 | Donna M Hand | Family Medicine | 103 E North St, Lindale, TX 75771-3116 | 2005-10-25 |
| 1447249842 | Redmond Physician Practice Company | Family Medicine | 3138 Maple Rd Se, Lindale, GA 30147-1309 | 2005-10-18 |
| 1366430332 | Melita Lang Brooks | Family Medicine | 3202 S Main St, Lindale, TX 75771-7727 | 2005-10-12 |
| 1568465755 | Russell Bell | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2005-05-23 |
| 1659916849 | Hunters Compassionate Care LLC | Family Medicine | 508 Pierce St, Lindale, TX 75771-3335 | 2019-11-11 |
| 1568874824 | Hayden Head | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2014-05-21 |
| 1609288091 | Carah Howe | Family Medicine | 3203 S Main St, Lindale, TX 75771-7727 | 2014-05-20 |
| Find all providers in LINDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.