Provider Demographics
NPI:1942372644
Name:LINDLEY, JOE WELDON (DC)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:WELDON
Last Name:LINDLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3002 PHILFALL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1101
Mailing Address - Country:US
Mailing Address - Phone:713-523-0770
Mailing Address - Fax:713-523-6204
Practice Address - Street 1:3002 PHILFALL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1101
Practice Address - Country:US
Practice Address - Phone:713-523-0770
Practice Address - Fax:713-523-6204
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2815111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601107Medicare ID - Type Unspecified