Provider Demographics
NPI:1972547842
Name:JAMES, BILLY J II (PHD)
Entity Type:Individual
Prefix:DR
First Name:BILLY
Middle Name:J
Last Name:JAMES
Suffix:II
Gender:M
Credentials:PHD
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 1091
Mailing Address - Street 2:
Mailing Address - City:COMFORT
Mailing Address - State:TX
Mailing Address - Zip Code:78013-1091
Mailing Address - Country:US
Mailing Address - Phone:830-370-8894
Mailing Address - Fax:
Practice Address - Street 1:219 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3955
Practice Address - Country:US
Practice Address - Phone:830-370-8894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17104101YP2500X
TX33122103TF0200X, 103TC0700X
TX10457146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146804301Medicaid
TX6003LCOtherBLUE CROSS BLUE SHIELD