Provider Demographics
NPI:1457322109
Name:ADAMS, JAMI ALICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:ALICIA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 REGIONAL PLZ STE 250
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5224
Mailing Address - Country:US
Mailing Address - Phone:325-695-1600
Mailing Address - Fax:325-695-1601
Practice Address - Street 1:6300 REGIONAL PLZ STE 250
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5224
Practice Address - Country:US
Practice Address - Phone:325-695-1600
Practice Address - Fax:325-695-1601
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9954208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166550701Medicaid
TX166548102Medicaid
TX166548101Medicaid
TX166548102Medicaid