Provider Demographics
NPI:1336728062
Name:LIN, PATRICIA TIEU (DO)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:TIEU
Last Name:LIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W ILLINOIS AVE # 100
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6384
Mailing Address - Country:US
Mailing Address - Phone:432-699-2370
Mailing Address - Fax:
Practice Address - Street 1:2500 W ILLINOIS AVE # 100
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6384
Practice Address - Country:US
Practice Address - Phone:432-699-2370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV9051207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology