Provider Demographics
NPI:1427141514
Name:LEMONS, STEVE L (MD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:L
Last Name:LEMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-4095
Practice Address - Fax:682-885-7499
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3096207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1640400OtherFIRSTHEALTH PIN
1669442042OtherGRP NPI NUMBER
TX10028763OtherAMERIGROUP PIN
TX101212OtherSUPERIOR PIN
TX3994039OtherCIGNA PIN
TX137345805Medicaid
TX4057629OtherAETNA PIN
TX135496107Medicaid
TX160395OtherPHCS PIN
TX117667100OtherFIRSTCARE PIN
TX135496105Medicaid
TX88V506OtherBCBSTX IND PIN
TX00L42VOtherBCBSTX GRP PIN
TX679733OtherUHC PIN
TX137283103Medicaid
TX00L42VOtherBCBSTX GRP PIN
TX10028763OtherAMERIGROUP PIN
TX137283103Medicaid