Healthcare Provider Details

I. General information

NPI: 1609883263
Provider Name (Legal Business Name): JAMI ADAMS, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 REGIONAL PLZ STE 250
ABILENE TX
79606-5224
US

IV. Provider business mailing address

6300 REGIONAL PLZ STE 250
ABILENE TX
79606-5224
US

V. Phone/Fax

Practice location:
  • Phone: 325-695-1600
  • Fax: 325-695-1601
Mailing address:
  • Phone: 325-695-1600
  • Fax: 325-695-1601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK9954
License Number StateTX

VIII. Authorized Official

Name: DR. JAMI ALICIA ADAMS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 325-695-1600