Individual
DR. JAMES F LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8642
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149177101
—
TX
05
—
149177102
—
TX
05
—
149177103
—
TX
01
—
8F4441
BCBS
TX
01
—
930115386
MEDICARE RAILROAD
TX
Enumeration date
12/20/2005
Last updated
09/22/2011
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