Provider Demographics
NPI:1730140906
Name:LINDZEY, DAVID L (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:LINDZEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 JOHN W HOOVER PKWY BLDG 1
Mailing Address - Street 2:
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-4561
Mailing Address - Country:US
Mailing Address - Phone:512-715-3110
Mailing Address - Fax:512-715-0678
Practice Address - Street 1:200 JOHN W HOOVER PKWY BLDG 1
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4561
Practice Address - Country:US
Practice Address - Phone:512-715-3110
Practice Address - Fax:512-715-0678
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8245207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX807659OtherBLUE SHIELD
TXP01054635OtherMEDICARE RR
TX1730140906OtherBCBS JV LOCATION
TXTIN PLUS 042OtherTRICARE
TXTIN PLUS 005OtherTRICARE JV
TX110211247OtherRR/MEDICARE
TX1342347-05OtherCSHCN
TX134234710Medicaid
TX8BC263OtherBCBS BILLING NUMBER ONLY
TXP00739414OtherMCRR JV
TXTIN PLUS 005OtherTRICARE JV
TX134234709Medicaid
TX1730140906OtherBCBS JV LOCATION
TX807659OtherBLUE SHIELD
TX134234708Medicaid
TX134234709Medicaid
TX8BC263OtherBCBS BILLING NUMBER ONLY
TXC18453Medicare UPIN
TXP00810184Medicare Oscar/Certification
TXTXB152791Medicare PIN
TX807659OtherBLUE SHIELD