| Doctor Name: | DR. LINDA JEAN ROYALL |
| NPI Number: | 1023011723 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G4925 |
| Business Practice Address: | 19222 Stonehue Ste 103 San Antonio, TX - 782583454 |
| Business Phone Number: | 2104971475 |
| Business Fax Number: | 2104971502 |
| Mailing Address: | 1367 Dominion Plz, TYLER |
| State: | TX |
| Postal Code: | 757031013 |
| Phone Number: | 9035646200 |
| Fax Number: | 9039390755 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | G4925 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |