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NPI Code Detail

MEDICARE: DR. OREGON JAI MCDIARMID MD

MEDICARE: DR. OREGON JAI MCDIARMID MD
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
1207Q00000XFamily Medicine PhysicianV9940TX

General Provider Information

NPI Number : 1114676749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OREGON JAI MCDIARMID MD
Provider Business Mailing Address
First Line : 3900 JUNIUS ST STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75246-1602
Country : US
Telephone Number : 239-372-6156
Fax Number : 214-528-5879
Provider Business Practice Location Address
First Line : 4922 SPRING AVE
Second Line :
City : DALLAS
State : TX
Zip : 75210-1359
Country : US
Telephone Number : 214-421-7848
Fax Number : 214-421-1119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 08/06/2025

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