Provider Demographics
NPI:1548207566
Name:HALE, JAMES D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:HALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7306 SW 34TH AVE
Mailing Address - Street 2:UNIT 4
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1423
Mailing Address - Country:US
Mailing Address - Phone:806-350-8850
Mailing Address - Fax:806-350-8855
Practice Address - Street 1:7306 SW 34TH AVE
Practice Address - Street 2:UNIT 4
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1423
Practice Address - Country:US
Practice Address - Phone:806-350-8850
Practice Address - Fax:806-350-8855
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH0996207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX114338100OtherFIRSTCARE
TX4203062OtherAETNA
TX874027OtherBCBS
TX080022491OtherRR MEDICARE
TX105408202Medicaid
TX752239700OtherTRICARE
TX874027OtherBCBS
TX114338100OtherFIRSTCARE