Provider Demographics
NPI:1760050942
Name:LIMBAUGH, LINDA DALINE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:DALINE
Last Name:LIMBAUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 HEIGHTS BLVD APT 8
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1546
Mailing Address - Country:US
Mailing Address - Phone:409-599-9311
Mailing Address - Fax:
Practice Address - Street 1:5105 AIRLINE DR APT 3106
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-2671
Practice Address - Country:US
Practice Address - Phone:832-888-9536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant