Provider Demographics
NPI:1730140906
Name:LINDZEY, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:LINDZEY
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:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 W HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-8606
Practice Address - Country:US
Practice Address - Phone:830-201-7100
Practice Address - Fax:830-201-7304
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTIN PLUS 042OtherTRICARE
TX1342347-06Medicaid
TXP01054635OtherMEDICARE RR
TX8DE643OtherBCBS
TXTIN PLUS 042OtherTRICARE TC
TX110211247OtherRR/MEDICARE
TX1342347-05OtherCSHCN
TX134234710Medicaid
TX8BC263OtherBCBS BILLING NUMBER ONLY
TXP00739414OtherMCRR JV
TXTIN PLUS 005OtherTRICARE JV
TX134234709Medicaid
TX1730140906OtherBCBS JV LOCATION
TX807659OtherBLUE SHIELD
TX134234708Medicaid
TX134234709Medicaid
TX8BC263OtherBCBS BILLING NUMBER ONLY
TXC18453Medicare UPIN
TXP00810184Medicare Oscar/Certification
TXTXB152791Medicare PIN
TX807659OtherBLUE SHIELD