Provider Demographics
NPI:1619983921
Name:JAMES E. DROST, M.D., LLC
Entity Type:Organization
Organization Name:JAMES E. DROST, M.D., LLC
Other - Org Name:DBA YOAKUM FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:DROST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-293-7061
Mailing Address - Street 1:210 NELSON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-2718
Mailing Address - Country:US
Mailing Address - Phone:361-293-7061
Mailing Address - Fax:361-293-7892
Practice Address - Street 1:210 NELSON ST
Practice Address - Street 2:SUITE C
Practice Address - City:YOAKUM
Practice Address - State:TX
Practice Address - Zip Code:77995-2718
Practice Address - Country:US
Practice Address - Phone:361-293-7061
Practice Address - Fax:361-293-7892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX063661501Medicaid
TX0093KPOtherBC/BS
TX458967Medicare ID - Type Unspecified