Healthcare Provider Details

I. General information

NPI: 1942268586
Provider Name (Legal Business Name): JAMES E RACE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAMES E RACE M.D.,

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

2909 S HAMPTON RD #E220
DALLAS TX
75224
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 NumberH5039
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: