Provider Demographics
NPI:1497134126
Name:THE LIND INSTITUTE OF PLASTIC SURGERY, PLLC
Entity Type:Organization
Organization Name:THE LIND INSTITUTE OF PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:LIND
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:281-419-1177
Mailing Address - Street 1:9595 SIX PINES DR
Mailing Address - Street 2:6250
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1531
Mailing Address - Country:US
Mailing Address - Phone:281-419-1177
Mailing Address - Fax:855-289-3952
Practice Address - Street 1:9595 SIX PINES DR
Practice Address - Street 2:6250
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1531
Practice Address - Country:US
Practice Address - Phone:281-419-1177
Practice Address - Fax:855-289-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty