Provider Demographics
NPI:1184840621
Name:JAMES W. FOXE M.D. AND WILLIAM J.M. ROACH M.D
Entity Type:Organization
Organization Name:JAMES W. FOXE M.D. AND WILLIAM J.M. ROACH M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-738-8584
Mailing Address - Street 1:1860 S CENTRAL ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4496
Mailing Address - Country:US
Mailing Address - Phone:559-738-8584
Mailing Address - Fax:559-733-4355
Practice Address - Street 1:1860 S CENTRAL ST
Practice Address - Street 2:SUITE D
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4496
Practice Address - Country:US
Practice Address - Phone:559-738-8584
Practice Address - Fax:559-733-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ175520ZMedicare PIN