MEDICARE: JOHN JAMES MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	M6673	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2085R0202X	Diagnostic Radiology Physician	M6673	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	262688YLXB	OTHER	TX	MEDICARE
2	262688YLA1	OTHER	TX	MEDICARE
3	262688YS5Q	OTHER	TX	MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	BP1-0022591	OTHER		INSTITUTIONAL PERMIT

NPI Number	:	1770787830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JAMES MD

Provider Business Mailing Address
First Line	:	808 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-4209
Country	:	US
Telephone Number	:	940-766-0217
Fax Number	:	940-766-0730

Provider Business Practice Location Address
First Line	:	808 BROOK AVE
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76301-4209
Country	:	US
Telephone Number	:	940-766-0217
Fax Number	:	940-766-0730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	12/15/2025

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

808 BROOK AVE
WICHITA FALLS, TX
76301-4209