Organization Active NPI

Nicholas Lin Mdpa

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1275801342
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N6911 Issued in TX
Legal business name
NICHOLAS LIN MDPA
Practice address
2700 Citizens Plaza, Suite 101
Victoria, TX 77901-5756
Phone
(361) 574-1858
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nicholas T. Lin, M.D.
Title
Owner
Phone
(361) 574-1858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N6911 TX Primary

Addresses

Primary practice location

2700 Citizens Plaza, Suite 101
Victoria, TX 77901-5756

Mailing address

2700 Citizens Plaza, Suite 101
Victoria, TX 77901-5756
Phone (361) 574-1858

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1275801342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLAZA, SUITE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015756",
            "telephone_number": "361-574-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLAZA, SUITE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015756",
            "telephone_number": "361-574-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS LIN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-574-1858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.