Provider Demographics
NPI:1568542645
Name:DEMASI, JAMES MICHAEL (RN, CPNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:DEMASI
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Gender:M
Credentials:RN, CPNP
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Mailing Address - Street 1:1935 MOTOR ST
Mailing Address - Street 2:ATTN: CCBD
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-7195
Mailing Address - Fax:214-456-6133
Practice Address - Street 1:1935 MOTOR ST
Practice Address - Street 2:ATTN: CCBD
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7195
Practice Address - Fax:214-456-6133
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX605371363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics