Provider Demographics
NPI:1699884742
Name:PRICE, LINDA S (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3201 UNIVERSITY DR E
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3475
Mailing Address - Country:US
Mailing Address - Phone:979-731-8007
Mailing Address - Fax:979-731-8029
Practice Address - Street 1:3201 UNIVERSITY DR E
Practice Address - Street 2:SUITE 210
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3475
Practice Address - Country:US
Practice Address - Phone:979-731-8007
Practice Address - Fax:979-731-8029
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2011-10-06
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Provider Licenses
StateLicense IDTaxonomies
TXH3732207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B33TOtherBLUE CROSS BLUE SHIELD
TX097491701Medicaid
TX00B33TMedicare PIN