Provider Demographics
NPI:1306936752
Name:LIN, DAVID LONG-I (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LONG-I
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 201576
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-1576
Mailing Address - Country:US
Mailing Address - Phone:713-650-6900
Mailing Address - Fax:713-650-4900
Practice Address - Street 1:5420 WEST LOOP S
Practice Address - Street 2:SUITE 2300
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2107
Practice Address - Country:US
Practice Address - Phone:716-509-6900
Practice Address - Fax:713-650-4900
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2012-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN9730207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB159779Medicare PIN