MEDICARE: PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP PLLC

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
1	207R00000X	Internal Medicine Physician
2	363LF0000X	Family Nurse Practitioner	AP132280	TX
3	207R00000X	Internal Medicine Physician	Q8362	TX
4	363LF0000X	Family Nurse Practitioner	AP133757	TX
5	207R00000X	Internal Medicine Physician	M4304	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-407396	OTHER	TX	TMLT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2-450497	OTHER	TX	TMIC

General Provider Information

NPI Number	:	1124495718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERIOPERATIVE AND TRANSITIONAL MEDICINE GROUP PLLC

Provider Business Mailing Address
First Line	:	8220 WALNUT HILL LN STE 600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4433
Country	:	US
Telephone Number	:	214-238-3074
Fax Number	:	214-238-3608

Provider Business Practice Location Address
First Line	:	8220 WALNUT HILL LN STE 600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4433
Country	:	US
Telephone Number	:	214-238-3074
Fax Number	:	214-238-3608

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	JAMAL QAMAR LONE
Credential	:	MD
Telephone Number	:	214-238-3074

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	12/11/2025

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