Provider Demographics
NPI:1568093888
Name:HOWARD, JAMES MICAH
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MICAH
Last Name:HOWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 LAKEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-8563
Mailing Address - Country:US
Mailing Address - Phone:662-392-5479
Mailing Address - Fax:
Practice Address - Street 1:11911 LAKEWOOD TRL
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-8563
Practice Address - Country:US
Practice Address - Phone:662-392-5479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities