Provider Demographics
NPI:1194854992
Name:TERRY M. LINDSEY, M.D. P.A.
Entity Type:Organization
Organization Name:TERRY M. LINDSEY, M.D. P.A.
Other - Org Name:DEL RIO MEDICAL & SURGICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-774-2505
Mailing Address - Street 1:1200 N BEDELL AVE
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-4164
Mailing Address - Country:US
Mailing Address - Phone:830-774-2505
Mailing Address - Fax:830-774-2394
Practice Address - Street 1:1200 N BEDELL AVE
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4164
Practice Address - Country:US
Practice Address - Phone:830-774-2505
Practice Address - Fax:830-774-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083824501Medicaid
TX00L73GMedicare ID - Type Unspecified