Provider Demographics
NPI:1558460543
Name:JAMES, TERRY L (MD PA)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:L
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD PA
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 1450
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:972-562-0028
Mailing Address - Fax:972-562-9466
Practice Address - Street 1:777 FOREST LANE
Practice Address - Street 2:MEDICAL CITY DALLAS HOSPITAL
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-562-0028
Practice Address - Fax:972-562-9466
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5391207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000AJ828Medicaid
TX0042GUOtherBCBS
TX0042GUOtherBCBS