Provider Demographics
NPI:1932670643
Name:LYNDA E. MBAH, MD, PLLC
Entity Type:Organization
Organization Name:LYNDA E. MBAH, MD, PLLC
Other - Org Name:DELC MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MBAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-353-2400
Mailing Address - Street 1:5285 INDEPENDENCE PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4646
Mailing Address - Country:US
Mailing Address - Phone:469-353-2400
Mailing Address - Fax:469-353-2401
Practice Address - Street 1:5285 INDEPENDENCE PKWY STE 400
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4646
Practice Address - Country:US
Practice Address - Phone:000-000-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty