Provider Demographics
NPI:1821441320
Name:LINDSEY E. TIJERINA, MD PA
Entity Type:Organization
Organization Name:LINDSEY E. TIJERINA, MD PA
Other - Org Name:THE FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIJERINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-557-2777
Mailing Address - Street 1:PO BOX 15
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-0015
Mailing Address - Country:US
Mailing Address - Phone:979-557-2777
Mailing Address - Fax:979-557-2799
Practice Address - Street 1:307 W. MILAM ST
Practice Address - Street 2:STE. 311
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488
Practice Address - Country:US
Practice Address - Phone:979-557-2777
Practice Address - Fax:979-557-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1234207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty