Individual
DR. WILBUR GEORGE LINEBACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2104 W MICHIGAN AVE, MIDLAND, TX 79701-5928
(432) 570-9552
(432) 570-9859
Mailing address
2104 W MICHIGAN AVE, MIDLAND, TX 79701-5928
(432) 570-9552
(432) 570-9859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1528
TX
2084P0800X
Psychiatry Physician
K1528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137457-01
—
TX
Enumeration date
09/14/2006
Last updated
06/14/2024
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