Provider Demographics
NPI:1083959605
Name:CAMAK, JAMES NEWTON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NEWTON
Last Name:CAMAK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 ACAPULCO CT
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6500
Mailing Address - Country:US
Mailing Address - Phone:972-717-6775
Mailing Address - Fax:
Practice Address - Street 1:3801 ACAPULCO CT
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6500
Practice Address - Country:US
Practice Address - Phone:972-717-6775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD49432085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC14101Medicare UPIN