Provider Demographics
NPI:1568783249
Name:JAMES A. THUROW, D.O., P.A.
Entity Type:Organization
Organization Name:JAMES A. THUROW, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:THUROW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:903-589-9858
Mailing Address - Street 1:203 NACOGDOCHES ST
Mailing Address - Street 2:SUITE 180
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-2462
Mailing Address - Country:US
Mailing Address - Phone:903-589-9858
Mailing Address - Fax:903-589-8328
Practice Address - Street 1:203 NACOGDOCHES ST
Practice Address - Street 2:SUITE 180
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2462
Practice Address - Country:US
Practice Address - Phone:903-589-9858
Practice Address - Fax:903-589-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB57142Medicare UPIN