Provider Demographics
NPI:1134508435
Name:MAPPIN, LINDA EVINS (MED)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:EVINS
Last Name:MAPPIN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1896 HOFFMANN LN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4105
Mailing Address - Country:US
Mailing Address - Phone:830-214-3777
Mailing Address - Fax:830-626-2962
Practice Address - Street 1:1896 HOFFMANN LN
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4105
Practice Address - Country:US
Practice Address - Phone:830-214-3777
Practice Address - Fax:830-626-2962
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66551101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional