Provider Demographics
NPI:1669881355
Name:LIGON, JAMES
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:LIGON
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 1:2115 FM 1960 RD E
Mailing Address - Street 2:SUITE #9
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5295
Mailing Address - Country:US
Mailing Address - Phone:832-633-1328
Mailing Address - Fax:
Practice Address - Street 1:902 FM 686
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-2299
Practice Address - Country:US
Practice Address - Phone:936-258-8013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19793122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist