Individual
JAMIE LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10036765
TX
207RN0300X
Nephrology Physician
Primary
R7521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396439701
—
TX
01
—
396439702
MEDICAID-CSHCN
TX
01
—
549586
TEXAS MEDICAL BOARD
TX
Enumeration date
06/12/2010
Last updated
06/07/2019
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