Provider Demographics
NPI:1205167954
Name:LINDELL, RICHARD ALLAN (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALLAN
Last Name:LINDELL
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 1:5500 N TARRANT PKWY
Mailing Address - Street 2:STE 108
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5391
Mailing Address - Country:US
Mailing Address - Phone:817-656-9300
Mailing Address - Fax:817-656-9302
Practice Address - Street 1:5500 N TARRANT PKWY
Practice Address - Street 2:STE 108
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5391
Practice Address - Country:US
Practice Address - Phone:817-656-9300
Practice Address - Fax:817-656-9302
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor