Provider Demographics
NPI:1225584634
Name:NORRIS, DLINDA JILL
Entity Type:Individual
Prefix:
First Name:DLINDA
Middle Name:JILL
Last Name:NORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 87TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2927
Mailing Address - Country:US
Mailing Address - Phone:806-790-1008
Mailing Address - Fax:806-589-4986
Practice Address - Street 1:6410 ERSKINE ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-3362
Practice Address - Country:US
Practice Address - Phone:806-790-1008
Practice Address - Fax:806-589-4986
Is Sole Proprietor?:No
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver