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Individual

JIMMY D LAFERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F6851
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131398304
TX
05
131398305
TX
05
131398310
TX
01
83755K
BCBS
TX
01
8EH518
BCBS TX
TX
Enumeration date
12/19/2005
Last updated
10/29/2015
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