Provider Demographics
NPI:1841278934
Name:JAMES, PAUL JERRALL (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:JERRALL
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2101 CRAWFORD ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8942
Mailing Address - Country:US
Mailing Address - Phone:713-659-1728
Mailing Address - Fax:713-659-7808
Practice Address - Street 1:2101 CRAWFORD ST
Practice Address - Street 2:SUITE 304
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8942
Practice Address - Country:US
Practice Address - Phone:713-659-1728
Practice Address - Fax:713-659-7808
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2010-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH3323208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128200602Medicaid
TX614319OtherPTAN
TX614319OtherPTAN
TXE73901Medicare UPIN