Provider Demographics
NPI:1083741862
Name:SOWARDS, JAMES MICHAEL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL
Last Name:SOWARDS
Suffix:
Gender:M
Credentials:FNP-BC
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 2078
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6156
Mailing Address - Country:US
Mailing Address - Phone:940-626-1905
Mailing Address - Fax:940-626-1901
Practice Address - Street 1:133 N FM 730
Practice Address - Street 2:SUITE 105
Practice Address - City:BOYD
Practice Address - State:TX
Practice Address - Zip Code:76023-3071
Practice Address - Country:US
Practice Address - Phone:940-433-2151
Practice Address - Fax:940-433-2366
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX518249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206108701Medicaid
TX8Y9901OtherBCBS
TX8Y9901OtherBCBS