Individual
MRS. AUDRA RENATA LINCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
M5745
TX
208000000X
Pediatrics Physician
Primary
M5745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8V0288
BCBS
TX
Enumeration date
12/28/2006
Last updated
04/05/2023
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