MEDICARE: JAMES R. AMPIL 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
1	207R00000X	Internal Medicine Physician	K0408	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831131721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES R. AMPIL M.D.

Provider Business Mailing Address
First Line	:	3434 SWISS AVE
Second Line	:	SUITE 310
City	:	DALLAS
State	:	TX
Zip	:	75204-6251
Country	:	US
Telephone Number	:	214-828-5050
Fax Number	:	214-828-5051

Provider Business Practice Location Address
First Line	:	3434 SWISS AVE
Second Line	:	SUITE 310
City	:	DALLAS
State	:	TX
Zip	:	75204-6251
Country	:	US
Telephone Number	:	214-828-5050
Fax Number	:	214-828-5051

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	12/06/2012

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Directions to “ JAMES R. AMPIL M.D.” Practice Location

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