Provider Demographics
NPI:1467890954
Name:JAMES E. RACE MD PA
Entity Type:Organization
Organization Name:JAMES E. RACE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:RACE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-467-3832
Mailing Address - Street 1:2909 S HAMPTON RD STE D107
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-3000
Mailing Address - Country:US
Mailing Address - Phone:214-467-3832
Mailing Address - Fax:214-467-3380
Practice Address - Street 1:2909 S HAMPTON RD
Practice Address - Street 2:STE E220
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-3000
Practice Address - Country:US
Practice Address - Phone:214-467-3832
Practice Address - Fax:214-467-3380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00A37QMedicare PIN