Lindale Medical Clinic, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0424 Issued in TX

Legal business name

LINDALE MEDICAL CLINIC, INC

Practice address

206 W Hubbard St
Lindale, TX 75771-6215

Phone

(903) 882-3164

Fax

(903) 882-7405

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri R Tucker

Title

Office Manager

Phone

(903) 882-3194

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Jean Remenchik, MD

  • Internal Medicine Physician
  • Lindale, TX
  • NPI 1821089095
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1568455673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757711509",
            "telephone_number": "903-882-3194",
            "fax_number": "903-882-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W HUBBARD ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716215",
            "telephone_number": "903-882-3164",
            "fax_number": "903-882-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDALE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-882-3194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0424",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0425",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindale Health Care Center
• Lindale Healthcare Operations LLC
• Lindale Healthcare, LLC
• Lindale Healthcare, LLC
• Lindale Isd
• Lindale Smiles
• Lone Star Day Program
• Jeffrey Scott Lowder, PT
• Lauren Luttrell, DPT
• Richard Magliolo

• Family Medicine Physician in Lindale, TX
• Providers in Lindale, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.