Provider Demographics
NPI:1609917004
Name:LINDSEY, CAROL ANNE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANNE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 LOUIS PASTEUR DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3409
Mailing Address - Country:US
Mailing Address - Phone:210-614-3355
Mailing Address - Fax:210-614-0530
Practice Address - Street 1:7810 LOUIS PASTEUR DR STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3409
Practice Address - Country:US
Practice Address - Phone:210-614-3355
Practice Address - Fax:210-558-6289
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8861363A00000X
MA1429363A00000X
TXPA18191363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
8861OtherARIZONA PA LICENSE