Provider Demographics
NPI:1477732774
Name:LINDY RACHAL, M.D., P.A.
Entity Type:Organization
Organization Name:LINDY RACHAL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:THADDEUS
Authorized Official - Last Name:RACHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-521-0039
Mailing Address - Street 1:7580 FANNIN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1900
Mailing Address - Country:US
Mailing Address - Phone:713-521-0039
Mailing Address - Fax:713-521-7301
Practice Address - Street 1:7580 FANNIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1900
Practice Address - Country:US
Practice Address - Phone:713-521-0039
Practice Address - Fax:713-521-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5507174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00944RMedicare PIN
TXC20765Medicare UPIN