Provider Demographics
NPI:1265009716
Name:ESTRADA, LYNDSEY (MD)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:ESTRADA
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 1:2371 CROCKETT DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5920
Mailing Address - Country:US
Mailing Address - Phone:325-641-1140
Mailing Address - Fax:833-437-1253
Practice Address - Street 1:2371 CROCKETT DR STE 102
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5920
Practice Address - Country:US
Practice Address - Phone:325-641-1140
Practice Address - Fax:833-437-1253
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10075202390200000X
TXU1890207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program