Healthcare Provider Details

I. General information

NPI: 1033501622
Provider Name (Legal Business Name): FMCSCIENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 PR 4060
LAMPASAS TX
76550-4071
US

IV. Provider business mailing address

207 W AVENUE E
LAMPASAS TX
76550-1820
US

V. Phone/Fax

Practice location:
  • Phone: 512-556-3621
  • Fax: 512-556-6594
Mailing address:
  • Phone: 512-556-3621
  • Fax: 512-556-6594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES E CAIN III
Title or Position: MANAGER
Credential: MD
Phone: 512-556-3621