Provider Demographics
NPI:1629095229
Name:BOX, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:BOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 961205
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76161-1205
Mailing Address - Country:US
Mailing Address - Phone:817-740-8400
Mailing Address - Fax:817-433-5110
Practice Address - Street 1:6100 HARRIS PARKWAY
Practice Address - Street 2:SUITE 320
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4133
Practice Address - Country:US
Practice Address - Phone:817-433-5499
Practice Address - Fax:817-433-5110
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE1818207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200046247OtherRAILROAD MEDICARE
TX036182602Medicaid