Provider Demographics
NPI:1295950772
Name:MEGUIRE, JAMES N
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:N
Last Name:MEGUIRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 N KENNEDY ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-2406
Mailing Address - Country:US
Mailing Address - Phone:956-735-9577
Mailing Address - Fax:956-488-6062
Practice Address - Street 1:122 N KENNEDY ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-2406
Practice Address - Country:US
Practice Address - Phone:956-735-9577
Practice Address - Fax:956-488-6062
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies