Provider Demographics
NPI:1578763314
Name:FITTS, JAMES MASHBURN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MASHBURN
Last Name:FITTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 W HWY 45
Mailing Address - Street 2:
Mailing Address - City:DILLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78017-4601
Mailing Address - Country:US
Mailing Address - Phone:830-879-3030
Mailing Address - Fax:
Practice Address - Street 1:1459 W HIGHWAY 85
Practice Address - Street 2:
Practice Address - City:DILLEY
Practice Address - State:TX
Practice Address - Zip Code:78017-4601
Practice Address - Country:US
Practice Address - Phone:830-879-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0345208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice