Provider Demographics
NPI:1720231137
Name:TEMPLE, JAMES TERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TERRY
Last Name:TEMPLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5129 ELSBY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-3307
Mailing Address - Country:US
Mailing Address - Phone:214-357-2086
Mailing Address - Fax:214-956-8845
Practice Address - Street 1:5129 ELSBY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-3307
Practice Address - Country:US
Practice Address - Phone:214-357-2086
Practice Address - Fax:214-956-8845
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4412207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC22537Medicare UPIN