Provider Demographics
NPI:1912861089
Name:LEMON, CHARLEXIS
Entity type:Individual
Prefix:
First Name:CHARLEXIS
Middle Name:
Last Name:LEMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 W RANDOL MILL RD APT A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4282
Mailing Address - Country:US
Mailing Address - Phone:682-448-7100
Mailing Address - Fax:
Practice Address - Street 1:2643 W RANDOL MILL RD APT A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4282
Practice Address - Country:US
Practice Address - Phone:682-448-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0061080890376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide