Provider Demographics
NPI:1548382641
Name:MCCOY, JAMES MICHAEL (CP, LP, FAAOP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MICHAEL
Last Name:MCCOY
Suffix:
Gender:M
Credentials:CP, LP, FAAOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8519 CALLAGHAN RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4948
Mailing Address - Country:US
Mailing Address - Phone:210-690-0739
Mailing Address - Fax:210-340-2182
Practice Address - Street 1:8519 CALLAGHAN RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4948
Practice Address - Country:US
Practice Address - Phone:210-690-0739
Practice Address - Fax:210-340-2182
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLP-0378224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist