Provider Demographics
NPI:1497743165
Name:MAHER, JAMES A JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:MAHER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:19255 PARK ROW
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7309
Mailing Address - Country:US
Mailing Address - Phone:281-945-5190
Mailing Address - Fax:281-945-5194
Practice Address - Street 1:19255 PARK ROW
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7309
Practice Address - Country:US
Practice Address - Phone:281-945-5190
Practice Address - Fax:281-945-5194
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2015-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF1131207RG0100X
LA04775R207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB64638Medicare UPIN
TX8F8136Medicare UPIN