Organization
LARRY LINDSAY DDS
Active
Other names
Balcones Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUNDERMAN (CLINICAL ADMINISTRATOR)
(512) 346-3427
Entity
Organization
Contact information
Practice address
6500 N MO PAC EXPY STE 2103, AUSTIN, TX 78731-3282
(512) 346-3427
Mailing address
6500 N MO PAC EXPY STE 2103, AUSTIN, TX 78731-3282
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326489576
PPO
TX
01
—
1407338874
PPO
TX
01
—
1841417466
PPO
TX
Enumeration date
04/03/2019
Last updated
04/03/2019
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