Provider Demographics
NPI:1376557520
Name:JAMES, MICHELE LERO (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LERO
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:40 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956-1544
Mailing Address - Country:US
Mailing Address - Phone:979-743-3520
Mailing Address - Fax:979-743-3542
Practice Address - Street 1:40 EAST AVE
Practice Address - Street 2:KOCUREK AND JAMES CLINIC
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956-1544
Practice Address - Country:US
Practice Address - Phone:979-743-3520
Practice Address - Fax:979-743-3542
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2160208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137981013Medicaid
TXG31724Medicare UPIN