Provider Demographics
NPI:1124214242
Name:LINDELL CHIROPRACTIC CENTER INC.
Entity Type:Organization
Organization Name:LINDELL CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-991-4500
Mailing Address - Street 1:7109 S STAPLES ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-5528
Mailing Address - Country:US
Mailing Address - Phone:361-991-4500
Mailing Address - Fax:361-991-4595
Practice Address - Street 1:7109 S STAPLES ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-5528
Practice Address - Country:US
Practice Address - Phone:361-991-4500
Practice Address - Fax:361-991-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0A3172Medicare PIN
TX00426TMedicare PIN