Healthcare Provider Details

I. General information

NPI: 1023872793
Provider Name (Legal Business Name): JAMES PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 EAST AVE
SCHULENBURG TX
78956-1611
US

IV. Provider business mailing address

PO BOX 359
SCHULENBURG TX
78956-0359
US

V. Phone/Fax

Practice location:
  • Phone: 979-743-3520
  • Fax: 979-743-3542
Mailing address:
  • Phone: 979-743-3520
  • Fax: 877-829-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA WYANT
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 979-249-6590