Provider Demographics
NPI:1508836693
Name:LIN, RICK JUI HAN (DO)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:JUI HAN
Last Name:LIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3100 BUDDY OWENS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-971-0404
Mailing Address - Fax:975-971-0408
Practice Address - Street 1:3100 BUDDY OWENS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-971-0404
Practice Address - Fax:975-971-0408
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4533207N00000X, 207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611972Medicare ID - Type UnspecifiedPROVIDER NUMBER
TXI43168Medicare UPIN