Provider Demographics
NPI:1063763225
Name:LAMBERT, JAMIE LYNN (PAC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:LAMBERT
Suffix:
Gender:
Credentials:PAC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:LAIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:7003 WOODWAY DR STE 311
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6163
Mailing Address - Country:US
Mailing Address - Phone:254-537-6000
Mailing Address - Fax:254-537-6013
Practice Address - Street 1:7003 WOODWAY DR STE 311
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6163
Practice Address - Country:US
Practice Address - Phone:254-537-6000
Practice Address - Fax:254-537-6013
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08172207Q00000X, 363AM0700X
TX363A00000X
363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant