MEDICARE: DR. JAMES F LEFFINGWELL 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
1	207Y00000X	Otolaryngology Physician	G2176	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356396493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES F LEFFINGWELL MD

Provider Business Mailing Address
First Line	:	400 WEST ARBROOK BLVD
Second Line	:	SUITE 301
City	:	ARLINGTON
State	:	TX
Zip	:	76014-3174
Country	:	US
Telephone Number	:	817-261-3000
Fax Number	:	817-274-4292

Provider Business Practice Location Address
First Line	:	400 WEST ARBROOK B;LVD
Second Line	:	SUITE 301
City	:	ARLINGTON
State	:	TX
Zip	:	76014-3174
Country	:	US
Telephone Number	:	817-261-3000
Fax Number	:	817-274-4292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	11/18/2011

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