Provider Demographics
NPI:1295774206
Name:MCDEAVITT, JAMES THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:THOMAS
Last Name:MCDEAVITT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7200 CAMBRIDGE ST FL 10
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4202
Mailing Address - Country:US
Mailing Address - Phone:713-798-1000
Mailing Address - Fax:704-512-6485
Practice Address - Street 1:7200 CAMBRIDGE ST FL 10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-1000
Practice Address - Fax:704-355-5073
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2022-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP8601208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE33427Medicare UPIN