Organization
LINDSEY VANDYKE, D.O. PLLC
Active
Other names
Advanced Institute for Diabetes & Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY VANDYKE DO (PHYSICIAN/MANAGING DIRECTOR)
(817) 380-4880
Entity
Organization
Contact information
Practice address
1900 MATLOCK RD STE 304, MANSFIELD, TX 76063-4435
(817) 380-4880
(817) 788-8416
Mailing address
1900 MATLOCK RD STE 304, MANSFIELD, TX 76063-4435
(817) 380-4880
(817) 788-8416
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R7919
MEDICAL LICENSE NUMBER
TX
Enumeration date
08/13/2020
Last updated
12/11/2020
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