Provider Demographics
NPI:1063482701
Name:JAMES, JANEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JANEEN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 STATE HIGHWAY 351
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-4746
Mailing Address - Country:US
Mailing Address - Phone:325-676-1101
Mailing Address - Fax:325-676-1104
Practice Address - Street 1:1634 STATE HIGHWAY 351
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4746
Practice Address - Country:US
Practice Address - Phone:325-676-1101
Practice Address - Fax:325-676-1104
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3493207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC17396Medicare UPIN