Provider Demographics
NPI:1992918379
Name:LINDLEY, HERBERT WAIN (MD)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:WAIN
Last Name:LINDLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:H.
Other - Middle Name:WAIN
Other - Last Name:LINDLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7104 SHAUNA DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7978
Mailing Address - Country:US
Mailing Address - Phone:405-550-9074
Mailing Address - Fax:
Practice Address - Street 1:7104 SHAUNA DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7978
Practice Address - Country:US
Practice Address - Phone:405-550-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH40182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKE70120Medicare UPIN