Provider Demographics
NPI:1891723367
Name:LINGUIST, DAVID LANE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LANE
Last Name:LINGUIST
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 1:505 N HIGHWAY 77
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1128
Mailing Address - Country:US
Mailing Address - Phone:972-923-1686
Mailing Address - Fax:972-937-7731
Practice Address - Street 1:505 N HIGHWAY 77
Practice Address - Street 2:SUITE 200
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1128
Practice Address - Country:US
Practice Address - Phone:972-923-1686
Practice Address - Fax:972-923-9268
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88431FOtherBCBS
TX1048613-03Medicaid
TX104861304Medicaid
TX8BR074OtherBCBS
TX104861304Medicaid
TXG50731Medicare UPIN
TX8F3670Medicare PIN
TX8L5674Medicare PIN
TX080098892Medicare PIN