Provider Demographics
NPI:1578608261
Name:ROBERT B. JAMES, DDS
Entity Type:Organization
Organization Name:ROBERT B. JAMES, DDS
Other - Org Name:THE DENTISTS FOR KIDS
Other - Org Type:Other Name
Authorized Official - Title/Position:GOPHER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ELKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-696-2563
Mailing Address - Street 1:15303 HUEBNER RD
Mailing Address - Street 2:BLDG 17
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0959
Mailing Address - Country:US
Mailing Address - Phone:210-696-2563
Mailing Address - Fax:210-764-7226
Practice Address - Street 1:15303 HUEBNER RD
Practice Address - Street 2:BLDG 17
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0959
Practice Address - Country:US
Practice Address - Phone:210-696-2563
Practice Address - Fax:210-764-7226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty