Provider Demographics
NPI:1689692105
Name:FLESHMAN, JAMES W JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:FLESHMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3500 GASTON AVE
Mailing Address - Street 2:1ST FLOOR ROBERTS HOSPITAL
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2017
Mailing Address - Country:US
Mailing Address - Phone:214-820-2404
Mailing Address - Fax:214-820-4538
Practice Address - Street 1:3409 WORTH STREET, WORTH TOWER
Practice Address - Street 2:SUITE 640
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:469-800-7180
Practice Address - Fax:469-800-7190
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2017-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR7B36208C00000X
TXP4647208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3130585-01Medicaid
TX3130585-02Medicaid
TX1689692105OtherNPI
MO202430716Medicaid
IL$$$$$$$$$Medicaid
IL$$$$$$$$$Medicaid
TX3130585-02Medicaid
TX267304YKY6Medicare PIN
TX267304YKTPMedicare PIN