Provider Demographics
NPI:1508864554
Name:THUROW, JAMES A (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:THUROW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 NACOGDOCHES ST 180
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-2453
Mailing Address - Country:US
Mailing Address - Phone:903-589-9858
Mailing Address - Fax:903-589-8328
Practice Address - Street 1:203 NACOGDOCHES ST 180
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2453
Practice Address - Country:US
Practice Address - Phone:903-589-9858
Practice Address - Fax:903-589-8328
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1700207R00000X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096329001Medicaid
TX110218075OtherMEDICARE RAILROAD
TXK1700OtherTX STATE LICENSE
TX0010AFOtherB/C B/S OF TX
TX096329001Medicaid