Healthcare Provider Details

I. General information

NPI: 1316795081
Provider Name (Legal Business Name): JAMES A DRURY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 4TH ST
LUBBOCK TX
79430-0002
US

IV. Provider business mailing address

4968 W KESSLER PEAK DR
RIVERTON UT
84096-6454
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-2978
  • Fax:
Mailing address:
  • Phone: 801-425-8067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: