MEDICARE: JODY H LORIMER 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	207P00000X	Emergency Medicine Physician	116734	NC
2	207P00000X	Emergency Medicine Physician	M4319	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	P00379867	OTHER	TX	RAILROAD
3	8W1781	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912944034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY H LORIMER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 342
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-0342
Country	:	US
Telephone Number	:	817-229-9538
Fax Number	:

Provider Business Practice Location Address
First Line	:	8950 N TARRANT PKWY
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8465
Country	:	US
Telephone Number	:	817-281-7277
Fax Number	:

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	10/28/2015

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