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NPI Code Detail

MEDICARE: DR. JAMES S GARRISON M.D.

MEDICARE: DR. JAMES S GARRISON M.D.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianE9649TX

Other Identifiers

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

General Provider Information

NPI Number : 1407815020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES S GARRISON M.D.
Provider Business Mailing Address
First Line : PO BOX 650823
Second Line :
City : DALLAS
State : TX
Zip : 75265-0823
Country : US
Telephone Number : 972-884-4390
Fax Number : 972-674-2616
Provider Business Practice Location Address
First Line : 10400 N CENTRAL EXPY
Second Line : ATTN: MIT/M RUIZ
City : DALLAS
State : TX
Zip : 75231-2297
Country : US
Telephone Number : 972-884-4390
Fax Number : 972-674-2616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 01/19/2017

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