Provider Demographics
NPI:1306265046
Name:LINDO, ROLANDO J JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:J
Last Name:LINDO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROLANDO
Other - Middle Name:JOSE
Other - Last Name:LINDO BASSETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5829 6TH ST APT C
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-4525
Mailing Address - Country:US
Mailing Address - Phone:575-268-1286
Mailing Address - Fax:
Practice Address - Street 1:6600 NORTH DESERT BOULEVARD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912
Practice Address - Country:US
Practice Address - Phone:915-790-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2393207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine