Individual
OMAR LIRIO LINZAG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
321 N HIGHLAND AVE, SUITE 120, SHERMAN, TX 75092-7378
(903) 957-0385
(903) 957-4006
Mailing address
321 N HIGHLAND AVE, SUITE 120, SHERMAN, TX 75092-7378
(903) 957-0385
(903) 957-4006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1073286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86915T
BCBS
TX
Enumeration date
06/10/2006
Last updated
07/08/2007
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