Provider Demographics
NPI:1720449614
Name:JAMES, HAIZHEN
Entity Type:Individual
Prefix:
First Name:HAIZHEN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 GATTIS SCHOOL RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-7469
Mailing Address - Country:US
Mailing Address - Phone:512-900-2484
Mailing Address - Fax:
Practice Address - Street 1:1300 GATTIS SCHOOL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7469
Practice Address - Country:US
Practice Address - Phone:512-900-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-19
Last Update Date:2016-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT116843173C00000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist