Provider Demographics
NPI:1942275136
Name:HUMBLE, LIN F (MD)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:F
Last Name:HUMBLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 SW FWY # 5000
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1510
Mailing Address - Country:US
Mailing Address - Phone:281-725-5070
Mailing Address - Fax:713-448-4425
Practice Address - Street 1:17500 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2562
Practice Address - Country:US
Practice Address - Phone:713-591-7291
Practice Address - Fax:713-448-4425
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H90863Medicare UPIN