Provider Demographics
NPI:1528031432
Name:DOPSON, JAMES DEE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DEE
Last Name:DOPSON
Suffix:JR
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:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:502 E GOODE ST STE 1E
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:TX
Practice Address - Zip Code:75783-2539
Practice Address - Country:US
Practice Address - Phone:903-763-5402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8574207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142609001OtherEPSDT
TX165883302Medicaid
TX165883301Medicaid
TXDO08J1057OtherBCBS
TXTIN PLUS 022OtherTRICARE
TX75-2616977-121OtherTRICARE
TX123867OtherCHIPS
TX752616977011OtherTRICARE CHAMPUS
TXP00227183OtherMEDICARE RAILROAD
TX165883301Medicaid
TX8C6980Medicare ID - Type Unspecified
TX752616977011OtherTRICARE CHAMPUS