Provider Demographics
NPI:1780980789
Name:JAMES, MICHAEL DEMECHIO
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DEMECHIO
Last Name:JAMES
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 1:20430 IMPERIAL VALLEY DR APT 107
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5507
Mailing Address - Country:US
Mailing Address - Phone:281-408-0611
Mailing Address - Fax:
Practice Address - Street 1:20430 IMPERIAL VALLEY DR APT 107
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5507
Practice Address - Country:US
Practice Address - Phone:281-408-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No253Z00000XAgenciesIn Home Supportive Care