Provider Demographics
NPI:1699718767
Name:LUNSFORD, JAMES MICHAEL (DPM)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:LUNSFORD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9405 HUFFMEISTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2891
Mailing Address - Country:US
Mailing Address - Phone:281-463-7208
Mailing Address - Fax:281-463-1035
Practice Address - Street 1:9405 HUFFMEISTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2891
Practice Address - Country:US
Practice Address - Phone:281-463-7208
Practice Address - Fax:281-463-1035
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0644213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0313020001Medicare NSC
TXT14518Medicare UPIN
TX00EN74Medicare ID - Type Unspecified
TX173510201Medicaid