MEDICARE: CHARLEXIS LEMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	NA0061080890	TX

General Provider Information

NPI Number	:	1912861089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLEXIS LEMON

Provider Business Mailing Address
First Line	:	2643 W RANDOL MILL RD APT A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-4282
Country	:	US
Telephone Number	:	682-448-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2643 W RANDOL MILL RD APT A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-4282
Country	:	US
Telephone Number	:	682-448-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ CHARLEXIS LEMON ” Practice Location

Language	Start Address	Practice Location

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