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NPI Code Detail

MEDICARE: JAMES C HEALD M.D.

MEDICARE: JAMES C HEALD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianD4499TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598715658
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES C HEALD M.D.
Provider Business Mailing Address
First Line : PO BOX 130152
Second Line :
City : HOUSTON
State : TX
Zip : 77219-0152
Country : US
Telephone Number : 281-626-1425
Fax Number :
Provider Business Practice Location Address
First Line : 2001 LADBROOK DR
Second Line :
City : HUMBLE
State : TX
Zip : 77339-3004
Country : US
Telephone Number : 281-626-1425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 06/28/2010

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