MEDICARE: JAMES MICHAEL LLOYD

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	302F00000X	Exclusive Provider Organization	13549	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1356456602	OTHER	TX	NPI-TYPE I

General Provider Information

NPI Number	:	1821265497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES MICHAEL LLOYD

Provider Business Mailing Address
First Line	:	3851 SW GREEN OAKS BLVD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4130
Country	:	US
Telephone Number	:	817-483-2445
Fax Number	:	817-483-2677

Provider Business Practice Location Address
First Line	:	3851 SW GREEN OAKS BLVD
Second Line	:	123
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4130
Country	:	US
Telephone Number	:	817-483-2445
Fax Number	:	817-483-2677

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES MICHAEL LLOYD
Credential	:	D.D.S.,M.S.D
Telephone Number	:	817-483-2445

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	05/13/2008

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