Provider Demographics
NPI:1851622161
Name:JAMES C. HEALD M. D. P.A.
Entity Type:Organization
Organization Name:JAMES C. HEALD M. D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:HEALD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-626-1425
Mailing Address - Street 1:2001 LADBROOK DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3004
Mailing Address - Country:US
Mailing Address - Phone:281-626-1425
Mailing Address - Fax:
Practice Address - Street 1:2001 LADBROOK DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3004
Practice Address - Country:US
Practice Address - Phone:281-626-1425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD44992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1155509-02Medicaid
C16748Medicare UPIN