Provider Demographics
NPI:1013945682
Name:LINDBERG WELLNESS CENTER, P.A.
Entity Type:Organization
Organization Name:LINDBERG WELLNESS CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-668-7246
Mailing Address - Street 1:110 E SAVANNAH AVE BLDG A
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1241
Mailing Address - Country:US
Mailing Address - Phone:956-668-7246
Mailing Address - Fax:956-668-7247
Practice Address - Street 1:110 E SAVANNAH AVE BLDG A
Practice Address - Street 2:SUITE 201
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1241
Practice Address - Country:US
Practice Address - Phone:956-668-7246
Practice Address - Fax:956-668-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX9290111N00000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX70MWOtherBCBS
TXV03296Medicare UPIN
TX00X790Medicare PIN