Provider Demographics
NPI:1841231966
Name:READINGER, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:READINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6100 HARRIS PKWY
Mailing Address - Street 2:SUITE 345
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4101
Mailing Address - Country:US
Mailing Address - Phone:817-346-5960
Mailing Address - Fax:817-346-5961
Practice Address - Street 1:6100 HARRIS PKWY
Practice Address - Street 2:SUITE 345
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4101
Practice Address - Country:US
Practice Address - Phone:817-346-5960
Practice Address - Fax:817-346-5961
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE2809207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122739905Medicaid
TX122739902Medicaid
TX110094165OtherRAILROAD MEDICARE
TX110094165OtherRAILROAD MEDICARE
TX80X117Medicare PIN