Provider Demographics
NPI:1457665200
Name:RON LINDERMAN
Entity Type:Organization
Organization Name:RON LINDERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:LINDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-751-1606
Mailing Address - Street 1:200 W HIGHWAY 6
Mailing Address - Street 2:SUITE 607
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7923
Mailing Address - Country:US
Mailing Address - Phone:254-751-1606
Mailing Address - Fax:866-571-1622
Practice Address - Street 1:200 W HIGHWAY 6
Practice Address - Street 2:SUITE 607
Practice Address - City:WOODWAY
Practice Address - State:TX
Practice Address - Zip Code:76712-7923
Practice Address - Country:US
Practice Address - Phone:254-751-1606
Practice Address - Fax:866-571-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT14420Medicare UPIN
TX601811Medicare PIN