Healthcare Provider Details

I. General information

NPI: 1639601164
Provider Name (Legal Business Name): FMCSCIENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 04/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W AVENUE E
LAMPASAS TX
76550-1820
US

IV. Provider business mailing address

207 W AVENUE E
LAMPASAS TX
76550-1820
US

V. Phone/Fax

Practice location:
  • Phone: 512-556-4130
  • Fax: 512-556-3382
Mailing address:
  • Phone: 512-556-4130
  • Fax: 512-556-3382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES E CAIN III
Title or Position: MANAGER
Credential: MD
Phone: 512-556-4130