Provider Demographics
NPI:1700054525
Name:JAMES A. MAHER JR., MD, PLLC
Entity Type:Organization
Organization Name:JAMES A. MAHER JR., MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:281-392-5558
Mailing Address - Street 1:7607 SAN CLEMENTE POINT CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2505
Mailing Address - Country:US
Mailing Address - Phone:281-394-2634
Mailing Address - Fax:281-394-2775
Practice Address - Street 1:19255 PARK ROW
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7309
Practice Address - Country:US
Practice Address - Phone:281-945-5190
Practice Address - Fax:281-945-5194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1131207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB64638Medicare UPIN