Basic Information
| Provider Information | |||||||||
| NPI: | 1689743973 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JEFFREY PAUL LAMONT M D P A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3535 WORTH ST | ||||||||
| Address2: | STE. 610 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752462006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2148269873 | ||||||||
| FaxNumber: | 2148282089 | ||||||||
| Practice Location | |||||||||
| Address1: | 3535 WORTH ST | ||||||||
| Address2: | STE. 610 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752462006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2148269873 | ||||||||
| FaxNumber: | 2148282089 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 02/20/2008 | ||||||||
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| AuthorizedOfficialLastName: | LAMONT | ||||||||
| AuthorizedOfficialFirstName: | JEFFREY | ||||||||
| AuthorizedOfficialMiddleName: | PAUL | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 2148269873 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | K4319 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
No ID Information.