Provider Demographics
NPI:1619143740
Name:WILLIAM R. LUMRY M.D., P.A.
Entity Type:Organization
Organization Name:WILLIAM R. LUMRY M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:LUMRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-373-7374
Mailing Address - Street 1:10100 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4159
Mailing Address - Country:US
Mailing Address - Phone:214-373-7374
Mailing Address - Fax:214-373-7003
Practice Address - Street 1:10100 N CENTRAL EXPY
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4159
Practice Address - Country:US
Practice Address - Phone:214-373-7374
Practice Address - Fax:214-373-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8681207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z584Medicare PIN