Provider Demographics
NPI:1194712893
Name:LINDSAY, MARK B (MD)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:B
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2725 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2504
Mailing Address - Country:US
Mailing Address - Phone:979-776-2020
Mailing Address - Fax:979-731-8720
Practice Address - Street 1:2725 E 29TH ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2504
Practice Address - Country:US
Practice Address - Phone:979-776-2020
Practice Address - Fax:979-731-8720
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-29
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD4202207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1041030001Medicare NSC