Provider Demographics
NPI:1477554673
Name:CABELL, JAMES F III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:CABELL
Suffix:III
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 1:816 W CANNON ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3146
Mailing Address - Country:US
Mailing Address - Phone:817-321-0404
Mailing Address - Fax:
Practice Address - Street 1:627 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1832
Practice Address - Country:US
Practice Address - Phone:903-593-2539
Practice Address - Fax:903-593-0559
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS185172085R0202X
TXL68122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161887804Medicaid
TX752616977113OtherTRICARE MFH WINNSBORO LOCATION
TX161887805Medicaid
AL009960975OtherMEDICAID OF AL
AL73014376OtherBLUE CROSS OF AL
TX8V0572OtherBCBS OF TEXAS
TX7054464OtherAETNA
TX161887803Medicaid
MS05208070Medicaid
TX752616977007OtherTRICARE
AL73014376OtherBLUE CROSS OF AL
MS05208070Medicaid
TX161887803Medicaid
TXP00348758Medicare Oscar/Certification