Individual
DR. MICHAEL DAVID JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1132 S BOWEN RD, ARLINGTON, TX 76013-2204
(817) 265-9700
(817) 277-4164
Mailing address
8600 MEADOWBROOK DR, FORT WORTH, TX 76120-4612
(817) 265-9700
(817) 277-4164
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
HO492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007
TRICARE
—
05
—
047890101
—
TX
01
—
390001182
RAILROAD MEDICARE
—
01
—
89K852
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/08/2006
Last updated
08/25/2022
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