Provider Demographics
NPI:1356396493
Name:LEFFINGWELL, JAMES F (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:LEFFINGWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:400 WEST ARBROOK BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3174
Mailing Address - Country:US
Mailing Address - Phone:817-261-3000
Mailing Address - Fax:817-274-4292
Practice Address - Street 1:400 WEST ARBROOK B;LVD
Practice Address - Street 2:SUITE 301
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3174
Practice Address - Country:US
Practice Address - Phone:817-261-3000
Practice Address - Fax:817-274-4292
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG2176207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126180201Medicaid
TX126180201Medicaid
819251Medicare ID - Type Unspecified