Provider Demographics
NPI:1558686758
Name:STORY, JIM LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JIM
Middle Name:LEWIS
Last Name:STORY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3135 STONEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4042
Mailing Address - Country:US
Mailing Address - Phone:210-344-9082
Mailing Address - Fax:210-344-3633
Practice Address - Street 1:3135 STONEHAVEN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4042
Practice Address - Country:US
Practice Address - Phone:210-344-9082
Practice Address - Fax:210-344-3633
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXC9498207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery