Provider Demographics
NPI:1154433001
Name:GARNSEY, LINELL G (PA)
Entity type:Individual
Prefix:MRS
First Name:LINELL
Middle Name:G
Last Name:GARNSEY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:8516 SAN FERNANDO WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218
Mailing Address - Country:US
Mailing Address - Phone:214-857-1461
Mailing Address - Fax:214-857-1474
Practice Address - Street 1:CARDIOLOGY SECTION (111A)
Practice Address - Street 2:4500 SOUTH LANCASTER ROAD
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:214-857-1461
Practice Address - Fax:214-857-1474
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA03479363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXVAD000Medicare UPIN