Lindsay Johnson

Individual provider Active NPI Physician Assistant · Muleshoe, TX

NPI 1982010666 · NPPES record last updated Aug 12, 2014

Key facts

NPI
1982010666
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
PA09157 (TX)
Practice address
701 S 1St St
Muleshoe, TX 79347-3626
Phone
(806) 272-7531
Fax
(806) 272-4749
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09157TXMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09157 TX Yes

Addresses

Primary practice location

701 S 1St St
Muleshoe, TX 79347-3626

Mailing address

708 S 1St St
Muleshoe, TX 79347-3627
Phone (806) 272-4524

Other providers in Muleshoe, TX

All providers in Muleshoe, TX · Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.