Provider Demographics
NPI:1649300849
Name:LANCASTER, JAMES GLEN (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GLEN
Last Name:LANCASTER
Suffix:
Gender:M
Credentials:ATC, LAT
Other - Prefix:
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Mailing Address - Street 1:1013 DIANA DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-5120
Mailing Address - Country:US
Mailing Address - Phone:956-381-8557
Mailing Address - Fax:
Practice Address - Street 1:1201 W UNIVERSITY DR
Practice Address - Street 2:DEPT. OF INTERCOLLEGIATE ATHLETICS
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-2909
Practice Address - Country:US
Practice Address - Phone:956-665-2233
Practice Address - Fax:956-665-7200
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2015-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAT05602255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer