Provider Demographics
NPI:1689743973
Name:JEFFREY PAUL LAMONT M D P A
Entity Type:Organization
Organization Name:JEFFREY PAUL LAMONT M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LAMONT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-826-9873
Mailing Address - Street 1:3535 WORTH ST
Mailing Address - Street 2:STE. 610
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2006
Mailing Address - Country:US
Mailing Address - Phone:214-826-9873
Mailing Address - Fax:214-828-2089
Practice Address - Street 1:3535 WORTH ST
Practice Address - Street 2:STE. 610
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2006
Practice Address - Country:US
Practice Address - Phone:214-826-9873
Practice Address - Fax:214-828-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK43192086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH50956Medicare UPIN