LINDALE MEDICAL DENTAL GROUP NPI 1700942653

NPI Information

NPI: 1700942653
Provider Name: LINDALE MEDICAL DENTAL GROUP

Former Legal Business Name: JESUS CAQUIAS ERNESTO DAVILA

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
500 PAREDES LINE RD
#3
BROWNSVILLE, TX
ZIP 78521
Phone: (956) 541-2162
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LINDALE MEDICAL DENTAL GROUP is a diagnostic ultrasound radiology in Brownsville, TX. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. LINDALE MEDICAL DENTAL GROUP NPI is 1700942653. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Jesus Caquias Ernesto Davila.

The provider's business location address is:

500 PAREDES LINE RD
#3
BROWNSVILLE, TX
ZIP 78521-583
Phone: (956) 541-2162
Fax: (956) 541-8043

The provider's authorized official is Ernesto S Davila .
The authorized official title is Managing Partner and has the following contact phone number (956) 541-2162.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 3/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00FX68	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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