Provider Demographics
NPI:1982884441
Name:JAMES WESTMORELAND, M.D. PA
Entity Type:Organization
Organization Name:JAMES WESTMORELAND, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTMORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:936-539-2663
Mailing Address - Street 1:1501 RIVER POINTE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2656
Mailing Address - Country:US
Mailing Address - Phone:936-539-2663
Mailing Address - Fax:936-539-2664
Practice Address - Street 1:1501 RIVER POINTE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2656
Practice Address - Country:US
Practice Address - Phone:936-539-2663
Practice Address - Fax:936-539-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9012207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168528101Medicaid
TX168528101Medicaid
TX00367XMedicare PIN
TXI17851Medicare UPIN