Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 247492 | MA |
N | 207X00000X | Orthopaedic Surgeon | 56284 | CT |
N | 207X00000X | Orthopaedic Surgeon | A110862 | CA |
N | 207X00000X | Orthopaedic Surgeon | ML20008265 | WA |
Y | 207X00000X | Orthopaedic Surgeon | T2710 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | ME132848 | FL |
NPI | 1336151232 |
---|---|
Provider Name | James Lee Pace |
First Address | Dallas, TX 75235-7701 |
Second Address | Plano, TX 75024-4700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 17/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021654600 | (05) | FL |