Provider Demographics
NPI:1770683336
Name:APPEL, JIMMIE RAY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JIMMIE
Middle Name:RAY
Last Name:APPEL
Suffix:JR
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:PO BOX 7846
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79114-7846
Mailing Address - Country:US
Mailing Address - Phone:806-341-1255
Mailing Address - Fax:
Practice Address - Street 1:7407 LYNNLEE PL
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1808
Practice Address - Country:US
Practice Address - Phone:806-341-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG85177Medicare UPIN