Provider Demographics
NPI:1841229291
Name:LUNDIN, JAMES W (DC, FNP)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:LUNDIN
Suffix:
Gender:M
Credentials:DC, FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:270 REDBUD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3390
Mailing Address - Country:US
Mailing Address - Phone:972-542-5879
Mailing Address - Fax:972-542-7779
Practice Address - Street 1:270 REDBUD BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3390
Practice Address - Country:US
Practice Address - Phone:972-542-7778
Practice Address - Fax:972-562-0067
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXDC5982111N00000X
TX775646363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319627YVW6Medicare PIN
TX88470FMedicare PIN