Dr. Wilbur George Lineback Jr., M.D.
Specialist in Midland, TX. Individual provider (NPI-1).
NPI number1831294446
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1831294446
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wilbur George Lineback Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2006
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | K1528 | TX | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | K1528 | TX |
Practice location
2104 W Michigan AveMidland, TX 79701-5928
Phone 432-570-9552 · Fax 432-570-9859
Mailing address
2104 W Michigan AveMidland, TX 79701-5928
Phone 432-570-9552 · Fax 432-570-9859
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