Provider Demographics
NPI:1619970316
Name:ZINDEL, BARRY L (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:L
Last Name:ZINDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 FROSTY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-5812
Mailing Address - Country:US
Mailing Address - Phone:903-463-4099
Mailing Address - Fax:903-464-0204
Practice Address - Street 1:216 FROSTY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75021-5812
Practice Address - Country:US
Practice Address - Phone:903-463-4099
Practice Address - Fax:903-464-0204
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0658207X00000X
OK13254207X00000X
NC15837207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035091003Medicaid
TX035091001Medicaid
TX035091002Medicaid
TXN803Medicare ID - Type Unspecified
TX035091003Medicaid
TX035091001Medicaid
TXB27832Medicare UPIN