Provider Demographics
NPI:1194158170
Name:LINCOLN DEVICE INC
Entity type:Organization
Organization Name:LINCOLN DEVICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-288-2711
Mailing Address - Street 1:PO BOX 9359
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9359
Mailing Address - Country:US
Mailing Address - Phone:281-288-2711
Mailing Address - Fax:
Practice Address - Street 1:22820 INTERSTATE 45 N
Practice Address - Street 2:BUILDING 4 SUITE C
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8206
Practice Address - Country:US
Practice Address - Phone:281-288-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty