Provider Demographics
NPI:1164485009
Name:MCBRIDE, JAMES R JR
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:MCBRIDE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:R
Other - Last Name:MCBRIDE
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7580 FANNIN ST
Mailing Address - Street 2:#335
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1900
Mailing Address - Country:US
Mailing Address - Phone:713-797-9171
Mailing Address - Fax:713-797-0493
Practice Address - Street 1:7580 FANNIN ST
Practice Address - Street 2:#335
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1900
Practice Address - Country:US
Practice Address - Phone:713-797-9171
Practice Address - Fax:713-797-0493
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5165207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113996604Medicaid
TXP00732340OtherRAILROAD MEDICARE
TX113996604Medicaid