Healthcare Provider Details

I. General information

NPI: 1467890954
Provider Name (Legal Business Name): JAMES E. RACE MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2013
Last Update Date: 03/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 S HAMPTON RD STE E220
DALLAS TX
75224-3000
US

IV. Provider business mailing address

2909 S HAMPTON RD STE D107
DALLAS TX
75224-3000
US

V. Phone/Fax

Practice location:
  • Phone: 214-467-3832
  • Fax: 214-467-3380
Mailing address:
  • Phone: 214-467-3832
  • Fax: 214-467-3380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: JAMES E RACE
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 214-467-3832