Provider Demographics
NPI:1932987252
Name:LINDE, RICHARD WESTON (NURSE PRACITIONER)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:WESTON
Last Name:LINDE
Suffix:
Gender:M
Credentials:NURSE PRACITIONER
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:110 E SAVANNAH AVE
Mailing Address - Street 2:BLDG B STE 203
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503
Mailing Address - Country:US
Mailing Address - Phone:956-686-7611
Mailing Address - Fax:956-618-3164
Practice Address - Street 1:110 E SAVANNAH AVE
Practice Address - Street 2:BLDG B STE 203
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-686-7611
Practice Address - Fax:956-618-3164
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1131882363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty