Basic Information
Provider Information
NPI: 1831490440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPRING
FirstName: LINDSAY
MiddleName: GAIL
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7718 WOOD HOLLOW DR STE 103
Address2:  
City: AUSTIN
State: TX
PostalCode: 787311601
CountryCode: US
TelephoneNumber: 5122796749
FaxNumber: 5122796750
Practice Location
Address1: 12201 RENFERT WAY STE 225
Address2:  
City: AUSTIN
State: TX
PostalCode: 787585369
CountryCode: US
TelephoneNumber: 5123396626
FaxNumber: 5124253809
Other Information
ProviderEnumerationDate: 11/12/2010
LastUpdateDate: 02/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XAP126333TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

ID Information
IDTypeStateIssuerDescription
1256754601TXCAQHOTHER
3920556701TXTXDLOTHER
34522290105TX MEDICAID


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