Provider Demographics
NPI:1316982929
Name:LINTNER, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LINTNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 WEST LOOP S STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2206
Mailing Address - Country:US
Mailing Address - Phone:713-441-3560
Mailing Address - Fax:
Practice Address - Street 1:5505 WEST LOOP S STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2206
Practice Address - Country:US
Practice Address - Phone:713-441-3560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2660207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
601771109OtherUS DEPT OF LABOR
616771105OtherUS DEPT OF LABOR
616771101OtherUS DEPT OF LABOR
TX135655210Medicaid
TX8S9714OtherBLUE CROSS BLUE SHIELD
TX1316982929OtherBLUE CROSS BLUE SHIELD
616771110OtherUS DEPT OF LABOR
TXP01170505OtherRR MEDICARE
616771110OtherUS DEPT OF LABOR
616771105OtherUS DEPT OF LABOR
TXP01170505OtherRR MEDICARE