Provider Demographics
NPI:1659303535
Name:LOONEY, JAMES KENNETH (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KENNETH
Last Name:LOONEY
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 1:2900 VILLAGE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3301
Mailing Address - Country:US
Mailing Address - Phone:469-800-0500
Mailing Address - Fax:469-800-0510
Practice Address - Street 1:2900 VILLAGE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3301
Practice Address - Country:US
Practice Address - Phone:469-800-0500
Practice Address - Fax:469-800-0510
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4737207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine